Individual
THOMAS CHARLES BATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
123B 1ST ST, PRATTVILLE, AL 36067-3923
(334) 313-0868
Mailing address
649 PARTRIDGE LN, PRATTVILLE, AL 36067-4107
(334) 313-0868
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C2467A
AL
Other
Enumeration date
07/09/2019
Last updated
07/09/2019
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