Individual
STEPHANIE BATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
81-6587 MAMALAHOA HWY, PUALANI TERRACE BLDG C, KEALAKEKUA, HI 96750
(808) 209-6616
Mailing address
PO BOX 4512, KAILUA KONA, HI 96745-4512
(808) 209-6616
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
—
—
Other
Enumeration date
01/13/2020
Last updated
01/13/2020
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