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Individual
KATHERINE BROOKS BAUTISTA
Active
Individual
KATHERINE BROOKS BAUTISTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCMHC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
15717
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1699355206
—
NC
Enumeration date
06/03/2015
Last updated
06/19/2026
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