Individual
JERRELL BATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
TLMHC
Contact information
Practice address
2240 9TH ST, CORALVILLE, IA 52241-1575
(319) 800-5564
Mailing address
2240 9TH ST, CORALVILLE, IA 52241-1575
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
133406
IA
Other
Enumeration date
06/24/2025
Last updated
06/24/2025
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