person
Miguel Bautista, CADC
Addiction (Substance Use Disorder) Counselor in Chicago, Illinois
NPI 1245885474

Miguel Bautista is an Addiction (Substance Use Disorder) Counselor based in Chicago, IL and is specialized in Addiction (Substance Use Disorder). Miguel Bautista practices in Chicago, IL and has the professional credentials of CADC. The NPI Number for Miguel Bautista is 1245885474 and holds a License No. 31818 (Illinois).

The current practice location address for Miguel Bautista is 4259 S Berkeley Ave, Chicago, IL and can be reached out via phone at 773-268-7600.

Location: 4259 S Berkeley Ave, Chicago, IL, 60653-3030
person
Provider Profile Details
NPI Number
1245885474
Provider Name
Miguel Bautista
Credential
CADC
Provider Entity Type
Individual
Gender
Male
Address
4259 S Berkeley Ave, Chicago, IL, 60653-3030
Phone Number
773-268-7600
Fax Number
Provider Enumeration Date
08/05/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4259 S Berkeley Ave
City
State
Zip
60653-3030
Phone Number
773-268-7600
Fax Number
person
Provider Business Mailing Address Details
Address
4259 S Berkeley Ave
City
State
Zip
60653-3030
Phone Number
773-268-7600
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
31818 ()
Definition
Definition to come...
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