Organization
JEFFREY D BATES LPCC PLLC
Active
Other names
Vita Counseling
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY D BATES LPCC (PRESIDENT)
(701) 429-4724
Entity
Organization
Contact information
Practice address
1351 PAGE DR S STE 104, FARGO, ND 58103-3536
(701) 429-4724
(701) 532-0788
Mailing address
3453 INTERSTATE BLVD S STE B, FARGO, ND 58103-2257
(701) 429-4724
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
04/02/2020
Last updated
10/15/2021
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