Irene Victoria Bautista, B.A. PSYCHOLOGY is an addiction (substance use disorder) counselor in Smithtown, NY. Irene Victoria Bautista, B.A. PSYCHOLOGY NPI is 1114523479. The provider is registered as an individual entity type and is a multi-specialty group.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
161 E MAIN ST
SMITHTOWN, NY
ZIP 11787-879
Phone: (631) 360-7578
The enumeration date for this NPI number is 12/10/2020 and was last updated on 12/10/2020.