Individual
MRS. CORTNEY DAWN BAUTISTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LAC
Contact information
Practice address
2215 HUALAPAI MOUNTAIN RD, KINGMAN, AZ 86401-8324
(928) 753-9387
Mailing address
2215 HUALAPAI MOUNTAIN RD, KINGMAN, AZ 86401-8324
(928) 753-9387
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LAC-20765
AZ
Other
Enumeration date
09/04/2024
Last updated
09/04/2024
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