Individual
KATHERINE SILVEY BATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MCMHC
Contact information
Practice address
512 W ATLANTA ST, BROKEN ARROW, OK 74012-7004
(918) 615-6620
Mailing address
512 W ATLANTA ST, BROKEN ARROW, OK 74012-7004
(918) 615-6620
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
12/20/2022
Last updated
12/20/2022
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