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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003961210 NPPES
California Other 106H00000X MFTI

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