Individual
BRANDY BATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCDC III
Contact information
Practice address
527 N MERIDIAN RD, YOUNGSTOWN, OH 44509-1227
(330) 797-0070
(330) 797-9146
Mailing address
527 N MERIDIAN RD, YOUNGSTOWN, OH 44509-1227
(330) 797-0070
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCDCIII.161906
OH
Other
Enumeration date
05/05/2017
Last updated
07/16/2019
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