Individual
MELISSA LINDA BAUTISTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
305 W 4TH ST, BEAUMONT, CA 92223-2611
(951) 878-5199
Mailing address
338 OLIVE AVE, BEAUMONT, CA 92223-2654
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
8904
CA
Other
Enumeration date
10/17/2022
Last updated
03/01/2023
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