Individual
MS. JOAN S BATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.C.
Contact information
Practice address
115 OLYMPIC WAY, SAINT PETERS, MO 63376-1664
(636) 498-0776
(636) 498-0778
Mailing address
115 OLYMPIC WAY, SAINT PETERS, MO 63376-1664
(636) 498-0776
(636) 498-0778
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2000174209
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
494856701
—
MO
Enumeration date
12/18/2006
Last updated
07/09/2007
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