MRS. Keneley Bautista, MS

NPI #1063196749 in Stroudsburg, Pennsylvania

Provider Information

NPI Number: 1063196749
Entity Type: Individual
Name: MRS. Keneley Bautista, MS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Professional
Credential: MS
Enumeration Date: Jun 13, 2023
Last Updated: Jun 19, 2023

Practice Location

Address: 134 BROAD ST STE 2
City: Stroudsburg
State: Pennsylvania
ZIP Code: 18360-1590
Phone: (570) 856-4232

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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