Individual
MRS. ALLISON KATHLEEN BAUTISTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ASW
Contact information
Practice address
1908 BUSINESS CENTER DR, SAN BERNARDINO, CA 92408-3436
(909) 890-5930
Mailing address
1908 BUSINESS CENTER DR, SAN BERNARDINO, CA 92408-3436
(909) 284-7350
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
84231
CA
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
84231
CA
Other
Enumeration date
08/23/2017
Last updated
06/07/2023
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