Individual
ARACELI BAUTISTA HURST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
325 W HOSPITALITY LN STE 110, SAN BERNARDINO, CA 92408-3210
(909) 332-7707
(909) 823-5507
Mailing address
18313 RED BAY CT, SAN BERNARDINO, CA 92407-9062
(909) 743-3131
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW82986
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/25/2012
Last updated
11/30/2021
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