MISS Leticia Bautista
NPI #1104175389 in Indio, California
Provider Information
- NPI Number
- 1104175389
- Entity Type
- Individual
- Name
- MISS Leticia Bautista
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Sep 4, 2012
- Last Updated
- Jun 9, 2016
Practice Location
- Address
- 47825 OASIS ST
- City
- Indio
- State
- California
- ZIP Code
- 92201-6950
- Phone
- (760) 863-8455
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Manager/Care Coordinator |
| Counselor - Mental Health — Mental Health |
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