JONATHAN BAUTISTA

OAKLAND, CA
NPI1962702266
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: CA  LMFT#95892)
Enumeration Date2010-11-02
Last Update Date2016-10-21
Business Address
-- JONATHAN BAUTISTA
629 OAKLAND AVE
OAKLAND, CA 94611-4567
Phone number: 510-984-8722
Mailing Address
-- JONATHAN BAUTISTA
629 OAKLAND AVE
OAKLAND, CA 94611-4567
Phone number: 510-984-8722
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