Individual
ANDREA BATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC-A
Contact information
Practice address
6467 HWY 135N, SUITE 2, KILGORE, TX 75662
(903) 321-8785
Mailing address
247 CHAMPION DR, GLADEWATER, TX 75647-5925
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
92993
TX
Other
Enumeration date
09/23/2024
Last updated
09/23/2024
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