Individual
MRS. ASHLEY TAYLOR BATES I
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSC-AD
Contact information
Practice address
1048 PAM ANN LN, LOTHIAN, MD 20711-2600
(443) 214-5097
Mailing address
1048 PAM ANN LN, LOTHIAN, MD 20711-2600
(443) 214-5097
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
SC3161
MD
Other
Enumeration date
12/14/2023
Last updated
12/14/2023
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