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SANTA SELENA MARTIN-BAUTISTA SUDPT
NPI 1710694450
Counselor in Shelton, WA

Active since November 02, 2022
506 W. FRANKLIN STREET, SHELTON, WA 98584(360) 427-5232(360) 427-5006 Get Directions Write a Review

NPPES record last updated: November 2, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Santa Selena Martin-bautista Sudpt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SANTA SELENA MARTIN-BAUTISTA SUDPT (NPI 1710694450) is an individual counselor in Shelton, Washington, licensed in Washington (61358497) and active in the NPI registry since November 2022.

NPPES Registry Identity

NPI1710694450
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameSANTA SELENA MARTIN-BAUTISTACredential: SUDPT
Location Address506 W. FRANKLIN STREETShelton, WA 98584-3517
Mailing AddressPo Box 59Chehalis, WA 98532 · (360) 740-4380 · Fax (360) 740-1877
Phone(360) 427-5232
Fax(360) 427-5006
Sole ProprietorNo
Enumeration DateNovember 2, 2022
NPPES CertifiedNovember 2, 2022
✔ NPI 1710694450 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in WA · 61358497
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
506 W. FRANKLIN STREET, Shelton, WA 98584
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Santa Martin-bautista's NPI number?

The NPI number for Santa Martin-bautista is 1710694450. It was assigned to this individual provider in the NPPES registry on November 2, 2022.

Where is Santa Martin-bautista located?

Santa Martin-bautista practices at 506 W. Franklin Street, Shelton, WA 98584. The listed phone number is (360) 427-5232.

What is Santa Martin-bautista's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Santa Martin-bautista was last updated on November 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.