Individual provider · Type 1 NPI

Brandon Wautlet

Mental Health Counselor · Auburn, CA

NPI number 1861360596 Active

Practice location

11080 B Ave
Auburn, CA 95603-2618

Fax (530) 886-3472

Mailing address

5741 Arrowhead Dr
Foresthill, CA 95631-9604

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X7025621735 (CA)

Mental Health Counselor: Definition to come...

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About NPI 1861360596

Brandon Wautlet's National Provider Identifier is 1861360596, issued on Oct 24, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Auburn, CA. The record was last updated on Oct 24, 2025.