Individual
JENNIFER BELINDA BATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, MA/ED.S
Contact information
Practice address
2902 N HERRITAGE ST STE A, KINSTON, NC 28501-1580
(252) 686-5020
Mailing address
351 RUNNING SPRINGS LN, KERNERSVILLE, NC 27284-7685
(336) 408-9607
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
5564
NC
101YS0200X
School Counselor
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6104136
—
NC
Enumeration date
03/12/2008
Last updated
03/29/2022
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