Individual
MR. JEFFREY BATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
1351 PAGE DR S STE 104, FARGO, ND 58103-3536
(701) 429-4724
(701) 532-0788
Mailing address
3453 INTERSTATE BLVD S STE B, FARGO, ND 58103-2257
(701) 289-4354
(701) 205-4593
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
792-7-15-14
ND
Other
Enumeration date
09/07/2016
Last updated
10/15/2021
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