Individual
ESTHER LEANNE BAUTISTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
202 S WASHITA AVE, WYNNEWOOD, OK 73098-7820
(405) 666-4385
Mailing address
23880 OK STATE HWY 59, MAYSVIILE, OK 73057
(580) 371-5689
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1205100369
—
OK
Enumeration date
03/06/2012
Last updated
07/30/2025
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