Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Lissette Bautista, MA

Individual provider Mental Health Counselor · NPI 1396558854

Lissette Bautista, MA is a Mental Health Counselor in Clifton, New Jersey. Practices as a sole proprietor. Licensed in New Jersey.

Licensed in
NJ
In the registry since
2025
What do these letters mean?
MA — Master of Arts
A graduate arts degree.

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Practice location Address checks out

1187 Main Ave Ste 3F
Clifton, NJ 07011-2252
Phone: (855) 453-6611
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 37AC00853300 (NJ)

Record details

NPI number1396558854
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA
Sole proprietorYes
NPI enumeratedJanuary 29, 2025
Last updated in NPPESJanuary 29, 2025
Certification dateJanuary 29, 2025

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