Individual
MR. LARRY BATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2340 LAUREL RD, CAVE JUNCTION, OR 97523-9859
(541) 295-4301
Mailing address
2340 LAUREL RD, CAVE JUNCTION, OR 97523-9859
(541) 295-4301
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C4521
OR
Other
Enumeration date
05/28/2010
Last updated
10/27/2024
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