Individual
CHARLES EDWARD KATES II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1715 N GRANVILLE AVE STE C, MUNCIE, IN 47303-2149
(404) 386-1868
Mailing address
612 S BROTHERTON ST, MUNCIE, IN 47302-2816
(404) 386-1868
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/23/2024
Last updated
07/23/2024
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