Cortney Dawn Bautista, MS, LAC Valid NPI

Individual provider · Mental Health Counselor · Kingman, AZ

NPI

1245065895

Type

Individual (Type 1)

Primary specialty

Mental Health Counselor (Counselor)

Specialty group

Behavioral Health & Social Service Providers

Taxonomy code

101YM0800X

License number

LAC-20765 (AZ)

Sex

Female

Sole proprietor

No

Enumerated

2024-09-04

Last updated

2024-09-04