Individual
ALEJANDRA BAUTISTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1167 E SOUTH ST, ORLAND, CA 95963-9136
(530) 865-6459
(530) 865-6483
Mailing address
242 N VILLA AVE, WILLOWS, CA 95988-2641
(530) 865-6459
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
CA
1041C0700X
Clinical Social Worker
Primary
132772
CA
225400000X
Rehabilitation Practitioner
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/20/2023
Last updated
08/12/2025
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