Miguel Angel Bautista, CO61191490
NPI #1033856414 in Yakima, Washington
Provider Information
- NPI Number
- 1033856414
- Entity Type
- Individual
- Name
- Miguel Angel Bautista, CO61191490
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Credential
- CO61191490
- Enumeration Date
- May 17, 2022
- Last Updated
- May 17, 2022
Practice Location
- Address
- 2280 SR 821
- City
- Yakima
- State
- Washington
- ZIP Code
- 98901-1017
- Phone
- (509) 307-6858
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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