person
Krystleblue Bautista Santos
Addiction (Substance Use Disorder) Counselor in Commerce, California
NPI 1578812194

Krystleblue Bautista Santos is an Addiction (Substance Use Disorder) Counselor based in Lynwood, CA and is specialized in Addiction (Substance Use Disorder). Krystleblue Bautista Santos practices in Commerce, CA. The NPI Number for Krystleblue Bautista Santos is 1578812194 and holds a License No. (California).

The current practice location address for Krystleblue Bautista Santos is 5900 S Eastern Ave Ste 142, Commerce, CA and can be reached out via phone at 323-622-2020 and via fax at 323-622-2021.

Location: 5900 S Eastern Ave Ste 142, Commerce, CA, 90262-3043
person
Provider Profile Details
NPI Number
1578812194
Provider Name
Krystleblue Bautista Santos
Credential
Provider Entity Type
Individual
Gender
Female
Address
5900 S Eastern Ave Ste 142, Commerce, CA, 90262-3043
Phone Number
323-622-2020
Fax Number
323-622-2021
Provider Enumeration Date
08/29/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5900 S Eastern Ave Ste 142
City
State
Zip
90040-4024
Phone Number
323-622-2020
Fax Number
323-622-2021
person
Provider Business Mailing Address Details
Address
5900 S Eastern Ave Ste 142
City
State
Zip
90040-4024
Phone Number
323-622-2020
Fax Number
323-622-2021
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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