Individual
ANTHONY THOMAS BAUTISTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RADT
Contact information
Practice address
11 PEACH DR, SALINAS, CA 93901-3710
(831) 753-6001
(831) 753-5169
Mailing address
11 PEACH DR, SALINAS, CA 93901-3710
(831) 753-6001
(831) 753-5169
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
RH0002650519
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RH0002650519
RADT
CA
Enumeration date
05/20/2020
Last updated
11/27/2023
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