Individual provider · Type 1 NPI

Esmeralda Bautista

Mental Health Counselor · San Jose, CA

NPI number 1619576972 Active

Practice location

2090 Evans Ln
San Jose, CA 95125-2072

Fax (408) 448-1815

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1619576972

Esmeralda Bautista's National Provider Identifier is 1619576972, issued on Oct 19, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in San Jose, CA. The record was last updated on Oct 19, 2020.