Individual provider · Type 1 NPI
Santa Selena Martin-Bautista, SUDPT
Counselor · Shelton, WA
NPI number
1710694450
Active
Practice location
506 W. Franklin Street
Shelton, WA 98584-3517
Fax (360) 427-5006
Mailing address
PO Box 59
Chehalis, WA 98532
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor Primary | 101Y00000X | 61358497 (WA) |
Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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About NPI 1710694450
Santa Selena Martin-Bautista, SUDPT's National Provider Identifier is 1710694450, issued on Nov 2, 2022. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Shelton, WA. The record was last updated on Nov 2, 2022.