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Organization
WESTCOAST TRAUMA AND TESTING SPECIALISTS, INC.
Active
Organization
WESTCOAST TRAUMA AND TESTING SPECIALISTS, INC.
Active
Other names
Kap Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICOLETTE BAUTISTA LICENSED CLINICAL PS (CEO)
(916) 234-6585
Entity
Organization
Contact information
Practice address
110 BLUE RAVINE RD STE 104, FOLSOM, CA 95630-4712
(916) 234-6585
(916) 805-5145
Mailing address
110 BLUE RAVINE RD STE 104, FOLSOM, CA 95630-4712
(916) 505-4419
(916) 805-5145
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
02/27/2024
Last updated
01/09/2025
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