person
Irene Victoria Bautista, BAPSYCHOLOGY
Addiction (Substance Use Disorder) Counselor in Smithtown, New York
NPI 1114523479

Irene Victoria Bautista is an Addiction (Substance Use Disorder) Counselor based in Smithtown, NY and is specialized in Addiction (Substance Use Disorder). Irene Victoria Bautista practices in Smithtown, NY and has the professional credentials of BAPSYCHOLOGY. The NPI Number for Irene Victoria Bautista is 1114523479 and holds a License No. (New York).

The current practice location address for Irene Victoria Bautista is 161 E Main St, Smithtown, NY and can be reached out via phone at 631-360-7578. You can also correspond with Irene Victoria Bautista through the mailing address at 161 E MAIN ST, SMITHTOWN, NY - 11787-2879 (mailing address contact number: 631-360-7578).

Location: 161 E Main St, Smithtown, NY, 11787-2879
person
Provider Profile Details
NPI Number
1114523479
Provider Name
Irene Victoria Bautista
Credential
BAPSYCHOLOGY
Provider Entity Type
Individual
Gender
Female
Address
161 E Main St, Smithtown, NY, 11787-2879
Phone Number
631-360-7578
Fax Number
Provider Enumeration Date
12/10/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
161 E Main St
City
State
Zip
11787-2879
Phone Number
631-360-7578
Fax Number
person
Provider Business Mailing Address Details
Address
161 E Main St
City
State
Zip
11787-2879
Phone Number
631-360-7578
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
()
Definition
Definition to come...
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