Individual
RICHARD BATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
205 S 5TH ST, LEAVENWORTH, KS 66048-2602
(913) 271-7099
Mailing address
205 S 5TH ST, SUITE 13, LEAVENWORTH, KS 66048-2602
(913) 271-7099
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
2733
KS
Other
Enumeration date
10/04/2015
Last updated
01/28/2016
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