| Provider / Organization | NPI | Date Certified |
|---|---|---|
| VANESSA LISETTE BAUTISTA CEJA | 1174204572 | 2024-03-09 |
Vanessa Lisette Bautista Ceja is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1174204572. Registration indicates Vanessa Lisette Bautista Ceja is a provider of access to mental health/behavioral health providers services with a specialization in Behavioral Health & Social Service Providers, Counselor (Behavioral Health & Social Service Providers, Counselor) (Counselor: Mental Health, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Counselor Mental Health, Behavioral Health & Social Service Providers) (Counselor, ) Access to Mental Health/Behavioral Health Providers (Behavioral Health & Social Service Providers, Social Worker) (Behavioral Health & Social Service Providers, Social Worker) (Social Worker: Clinical, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Social Worker Clinical, Behavioral Health & Social Service Providers) (Social Worker, )
| Entity Type | Individual |
| Provider Name | Vanessa Lisette Bautista Ceja |
| Other Provider Name | Vanessa Lisette Bautista |
| Practice Office Address | 2600 REDONDO AVE LONG BEACH, CA US |
| Practice Office Telephone | 5625999280 |
| Mailing Address | 2600 REDONDO AVE LONG BEACH, CA 908062325 US |
| Business Telephone | 5622562900 |
| Code | Practice | License No State |
|---|---|---|
| 101YM0800X | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Counselor Behavioral Health & Social Service Providers Counselor Counselor: Mental Health Behavioral Health/Substance Abuse/Psychiatry Counselor Mental Health Behavioral Health & Social Service Providers Counselor | 117915
CA |
| 1041C0700X PRIMARY | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Social Worker Behavioral Health & Social Service Providers Social Worker Social Worker: Clinical Behavioral Health/Substance Abuse/Psychiatry Social Worker Clinical Behavioral Health & Social Service Providers Social Worker |