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Eddie Bautista
Marriage & Family Therapist in Santa Cruz, California
NPI 1699956821

Eddie Bautista is a Marriage & Family Therapist based in Watsonville, CA. Eddie Bautista practices in Santa Cruz, CA. The NPI Number for Eddie Bautista is 1699956821 and holds a License No. (California).

The current practice location address for Eddie Bautista is 1400 Emeline Ave, Santa Cruz, CA and can be reached out via phone at 831-454-4954.

Location: 1400 Emeline Ave, Santa Cruz, CA, 95077-2135
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1699956821
Provider Name
Eddie Bautista
Credential
Provider Entity Type
Individual
Gender
Male
Address
1400 Emeline Ave, Santa Cruz, CA, 95077-2135
Phone Number
831-454-4954
Fax Number
Provider Enumeration Date
11/15/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1659315430 01 CA CLINIC/CENTER NPI#
institution
Provider Business Practice Location Address Details
Address
1400 Emeline Ave
City
Santa Cruz
State
California
Zip
95060-1976
Phone Number
831-454-4954
Fax Number
person
Provider Business Mailing Address Details
Address
1400 Emeline Ave
City
Santa Cruz
State
California
Zip
95060-1976
Phone Number
831-454-4954
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
AMFT98431 (California)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Marriage & Family Therapist
Speciality
-
Taxonomy
106H00000X
License No.
()
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
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