Bautista, Jessica Maria
Bautista, Jessica Maria is an individual health care provider with primary practice located at 301 E. 13Th Street , Merced CA 95341-9534. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Bautista, Jessica Maria can be contacted via phone (209) 381-6800.Contact Information
Primary practice address
301 E. 13Th Street
Merced CA 95341-9534
Phone: (209) 381-6800
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | 41000 | California |
Profile Details
NPI number | 1003961210 |
---|---|
LBN Legal business name | Bautista, Jessica Maria |
Credentials | Master of Arts (MA) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 25th, 2007 |
Last updated | Aug 25th, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1003961210 | NPPES |
California | Other | 106H00000X | MFTI |
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