Individual
FRED BATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.ED., LCMHC, LADC
Contact information
Practice address
302 ROCKINGHAM RD, LONDONDERRY, NH 03053-2103
(603) 296-4087
(603) 296-4089
Mailing address
302 ROCKINGHAM RD, LONDONDERRY, NH 03053-2103
(603) 296-4087
(603) 296-4089
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
460
NH
101YM0800X
Mental Health Counselor
Primary
331
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14Y000994NH01
BLUE CROSS BLUE SHIELD NH
NH
05
—
30420929
—
NH
Enumeration date
09/22/2006
Last updated
09/11/2025
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