Individual provider · Type 1 NPI

Amanda Bautista

Mental Health Counselor · San Mateo, CA

NPI number 1841655040 Active

Practice location

1710 S Amphlett Blvd Ste 314
San Mateo, CA 94402-2736

Call (650) 242-0179 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1841655040

Amanda Bautista's National Provider Identifier is 1841655040, issued on Dec 15, 2015. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in San Mateo, CA. The record was last updated on Dec 15, 2015.