Individual
ELIZABETH BAUTISTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
20 DUKE MEDICINE CIR, DURHAM, NC 27710-2000
(919) 613-7891
Mailing address
5603 PELHAM RD, DURHAM, NC 27713-2537
(919) 265-7561
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
01477
NC
Other
Enumeration date
06/09/2025
Last updated
06/09/2025
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