Individual
ALONSO BAUTISTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MFTI
Contact information
Practice address
5427 WHITTIER BLVD, LOS ANGELES, CA 90022-4101
(323) 869-5408
(323) 869-5457
Mailing address
5427 WHITTIER BLVD, LOS ANGELES, CA 90022-4101
(323) 869-5408
(323) 869-5457
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
12/04/2013
Last updated
09/05/2022
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