Santa Selena Martin-Bautista, SUDPT Valid NPI
Individual provider · Counselor · Shelton, WA
- NPI
- 1710694450
- Type
- Individual (Type 1)
- Primary specialty
- Counselor
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 101Y00000X
- License number
- 61358497 (WA)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2022-11-02
- Last updated
- 2022-11-02
Practice location
506 W. Franklin Street
Shelton, WA 98584-3517
(360) 427-5232