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Individual

HATEM BATA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LAC

Contact information

Practice address
4539 N 22ND ST STE R, PHOENIX, AZ 85016-4639
(201) 293-1362
Mailing address
4539 N 22ND ST STE R, PHOENIX, AZ 85016-4639
(201) 293-1362

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LAC-22858
AZ

Other

Enumeration date
02/19/2025
Last updated
02/19/2025
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