Individual
KIMBERLY JOELL BATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
2225 W BROADWAY, LOUISVILLE, KY 40211-1003
(502) 589-8910
Mailing address
10101 LINN STATION RD STE 600, LOUISVILLE, KY 40223-3818
(502) 589-8600
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
251758
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100610320
—
KY
Enumeration date
06/07/2013
Last updated
08/05/2019
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