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

Susie Juliana Bautista

Individual provider Marriage & Family Therapist · NPI 1003209685

Susie Juliana Bautista is a Marriage & Family Therapist in San Luis Obispo, California. Registered with an NPI since 2015.

In the registry since
2015

Practice location Address checks out

2178 Johnson Ave
San Luis Obispo, CA 93401-4535
Phone: (805) 781-4960
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X

Record details

NPI number1003209685
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 6, 2015
Last updated in NPPESMarch 6, 2015

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