Individual
DR. TIFFANY BATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
412 S TRENTON ST, RUSTON, LA 71270-5031
(318) 232-2797
Mailing address
1603 BISTINEAU ST, RUSTON, LA 71270-5210
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2700
LA
Other
Enumeration date
08/19/2015
Last updated
08/19/2015
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