Individual provider · Type 1 NPI

Brenda Hernandez Bautista

Mental Health Counselor · San Pedro, CA

NPI number 1649757535 Active

Practice location

222 W 6th St Ste 230
San Pedro, CA 90731-3332

Fax (310) 707-2877

Mailing address

1301 Pine Ave
Long Beach, CA 90813-3124

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XACSW90551 (CA)

Mental Health Counselor: Definition to come...

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About NPI 1649757535

Brenda Hernandez Bautista's National Provider Identifier is 1649757535, issued on Jul 24, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in San Pedro, CA. The record was last updated on May 3, 2022.