Individual provider · Type 1 NPI

Eduardo Bautista, RADT

Addiction (Substance Use Disorder) Counselor · Indio, CA

NPI number 1700355633 Active

Practice location

44359 Palm St
Indio, CA 92201-3116

Call (760) 342-6616 Map

Other practice locations

  • 3605 E Ramon Rd, Palm Springs, CA 92264-1150 · (760) 325-5630

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician 106S00000XR1561100524 (CA)
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XR1561100524 (CA)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1700355633

Eduardo Bautista, RADT's National Provider Identifier is 1700355633, issued on Nov 20, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Indio, CA. The record was last updated on May 5, 2025.