Susie Juliana Bautista
NPI #1003209685 in San Luis Obispo, California
Provider Information
- NPI Number
- 1003209685
- Entity Type
- Individual
- Name
- Susie Juliana Bautista
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Marriage & Family Therapist
- Enumeration Date
- Mar 6, 2015
- Last Updated
- Mar 6, 2015
Practice Location
- Address
- 2178 JOHNSON AVE
- City
- San Luis Obispo
- State
- California
- ZIP Code
- 93401-4535
- Phone
- (805) 781-4960
Specialties & Taxonomy Codes
| Specialty |
|---|
| Marriage & Family Therapist |
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