Search › Indiana › 101YA0400X
Suzanne Bautista, NCACII, CADACII
NPI 1518203140 · on the registry since 2012 · sole proprietor
Practice
- Address
- 5230 W 10th St
Indianapolis, IN 46224 - Phone
- (317) 240-2801
- Fax
- (317) 240-2807
- Organisation at this address
- Libertad Counseling
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Also registered as
- 171M00000X
171R00000X
174H00000X
343900000X - Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2012-12-31
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana