Individual
AH'NONDA BATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LCAC
Contact information
Practice address
8320 MADISON AVE, INDIANAPOLIS, IN 46227
(317) 882-5122
(317) 888-8642
Mailing address
5101 E US HIGHWAY 36 STE 100, AVON, IN 46123-6646
(888) 714-1927
(317) 745-9565
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
87001001A
IN
Other
Enumeration date
11/19/2007
Last updated
07/24/2018
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