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Leslie Bautista
Mental Health Counselor in Riverside, California
NPI 1649788167

Leslie Bautista is a Mental Health Counselor based in Riverside, CA and is specialized in Mental Health. Leslie Bautista practices in Riverside, CA. The NPI Number for Leslie Bautista is 1649788167 and holds a License No. (California).

The current practice location address for Leslie Bautista is 6809 Indiana Ave # 130-B26, Riverside, CA and can be reached out via phone at 951-382-4842.

Location: 6809 Indiana Ave # 130-B26, Riverside, CA, 92506-4221
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1649788167
Provider Name
Leslie Bautista
Credential
Provider Entity Type
Individual
Gender
Female
Address
6809 Indiana Ave # 130-B26, Riverside, CA, 92506-4221
Phone Number
951-382-4842
Fax Number
Provider Enumeration Date
01/18/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
6809 Indiana Ave # 130-B26
City
Riverside
State
California
Zip
92506-4221
Phone Number
951-382-4842
Fax Number
person
Provider Business Mailing Address Details
Address
6809 Indiana Ave # 130-B26
City
Riverside
State
California
Zip
92506-4221
Phone Number
951-382-4842
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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