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Katherine Bautista
Mental Health Counselor in Tampa, Florida
NPI 1962882126

Katherine Bautista is a Mental Health Counselor based in Winston Salem, FL and is specialized in Mental Health. Katherine Bautista practices in Tampa, FL. The NPI Number for Katherine Bautista is 1962882126 and holds a License No. (Florida).

The current practice location address for Katherine Bautista is 5501 W Waters Ave, Tampa, FL and can be reached out via phone at 813-881-1000.

Location: 5501 W Waters Ave, Tampa, FL, 27103-1834
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1962882126
Provider Name
Katherine Bautista
Credential
Provider Entity Type
Individual
Gender
Female
Address
5501 W Waters Ave, Tampa, FL, 27103-1834
Phone Number
813-881-1000
Fax Number
Provider Enumeration Date
06/03/2015
Last Update Date
06/15/2024
institution
Provider Business Practice Location Address Details
Address
5501 W Waters Ave
City
Tampa
State
Florida
Zip
33634-1229
Phone Number
813-881-1000
Fax Number
person
Provider Business Mailing Address Details
Address
5501 W Waters Ave
City
Tampa
State
Florida
Zip
33634-1229
Phone Number
813-881-1000
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
15717 (North Carolina)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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