| Esther Leanne Bautista, | |
|
202 S Washita Ave, Wynnewood, OK 73098-7820 | |
| (405) 666-4385 | |
| Not Available |
| Full Name | Esther Leanne Bautista |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 202 S Washita Ave, Wynnewood, Oklahoma |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205100369 | NPI | - | NPPES |
| 1205100369 | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Esther Leanne Bautista, 23880 Ok State Hwy 59, Maysviile, OK 73057 Ph: (580) 371-5689 | Esther Leanne Bautista, 202 S Washita Ave, Wynnewood, OK 73098-7820 Ph: (405) 666-4385 |
Mr. Mike Don Dyson, M.S.P.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 202 S. Washita, Wynnewood, OK 73098 Phone: 405-665-4385 | |
Angela Campbell, M.ED LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 202 S Washita Ave, Wynnewood, OK 73098 Phone: 405-665-4385 | |
Delena J Sullivan, CRC, LPC CANDIDATE Counselor Medicare: Medicare Enrolled Practice Location: 202 S Washita Ave, Wynnewood, OK 73098 Phone: 405-665-4385 Fax: 405-665-6396 | |
Amy Corrick, LPC CANDIDATE Counselor Medicare: Not Enrolled in Medicare Practice Location: 202 S Washita Ave, Wynnewood, OK 73098 Phone: 405-665-4385 | |
Mrs. Tawanda Mae Northcutt, LPC CANDIDATE Counselor Medicare: Not Enrolled in Medicare Practice Location: 202 S Washita Ave, Wynnewood, OK 73098 Phone: 405-665-4385 | |
Mrs. Llawelyn Jean Levy, Counselor Medicare: Not Enrolled in Medicare Practice Location: 202 S Washita Ave, Wynnewood, OK 73098 Phone: 405-665-4385 |