Miguel Angel Bautista, CO61191490
Miguel Angel Bautista, CO61191490 is an Addiction (Substance Use Disorder) Counselor in Yakima, Washington. Practices as a sole proprietor. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
2280 Sr 821Yakima, WA 98901-1017
Phone: (509) 307-6858
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Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X |
|---|
Record details
| NPI number | 1033856414 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | CO61191490 |
| Sole proprietor | Yes |
| NPI enumerated | May 17, 2022 |
| Last updated in NPPES | May 17, 2022 |
| Certification date | May 2, 2022 |
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