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Individual

LUIS DANNY BAUTISTA JR.

Active
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Individual

LUIS DANNY BAUTISTA JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
172V00000X
Community Health Worker
—
CA
373H00000X
Day Training/Habilitation Specialist
Primary
—
CA

Other

Enumeration date
07/23/2008
Last updated
02/18/2026
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