Individual
VIRGINIA BAUTISTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
6171 W. CHARLESTON BLVD, LAS VEGAS, NV 89146-0165
(775) 419-9902
(702) 924-0628
Mailing address
500 E WARM SPRINGS RD STE 100, LAS VEGAS, NV 89119-4345
(775) 419-9902
(702) 924-0628
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
12427-C
NV
1041C0700X
Clinical Social Worker
4571065
ID
Other
Enumeration date
08/14/2013
Last updated
08/22/2025
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