Individual
ANDREW BAUTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, LMFT
Contact information
Practice address
225 NORTH MAIN STREET, SUITE 5, NORTH WEBSTER, IN 46555
(574) 834-1393
(574) 834-1205
Mailing address
PO BOX 751, NORTH WEBSTER, IN 46555-0751
(574) 834-1393
(574) 834-1205
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
35001966A
IN
Other
Enumeration date
06/04/2013
Last updated
07/16/2020
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