Individual
JOSELYN NATIVIDAD BAUTISTA ZAMUDIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
222 PAUL SCANNELL DR, SAN MATEO, CA 94402-4061
(650) 312-5552
Mailing address
222 PAUL SCANNELL DR, SAN MATEO, CA 94402-4061
(650) 312-5552
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
ASW123249
CA
104100000X
Social Worker
Primary
ASW123249
CA
Other
Enumeration date
01/24/2020
Last updated
10/02/2024
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