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Individual

MR. GEORGE A BATES

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MS, LCPC

Contact information

Practice address
8 EAGLE CENTER, O FALLON, IL 62269-1947
(618) 624-1234
(618) 624-2027
Mailing address
8 EAGLE CTR, O FALLON, IL 62269-1947
(618) 624-1234
(618) 624-2027

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
IL

Other

Enumeration date
09/07/2005
Last updated
07/08/2007
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