Individual
ISABELLE BAUTISTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
522 MORSE ST, WAVERLY, OH 45690-1209
(740) 947-6727
Mailing address
522 MORSE ST, WAVERLY, OH 45690-1209
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
10/28/2025
Last updated
10/28/2025
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