Individual
BRIGITTE BAUTISTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
335 E AVENUE I, LANCASTER, CA 93535-1916
(213) 465-5197
Mailing address
43111 7TH ST E, LANCASTER, CA 93535-4749
(818) 451-6817
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
84098
CA
1041C0700X
Clinical Social Worker
Primary
109700
CA
Other
Enumeration date
08/08/2018
Last updated
08/09/2024
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