Individual
MR. KARL L BATEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1970 E 3RD AVE, SUITE 102, DURANGO, CO 81301-5056
(505) 414-0239
Mailing address
4465 BELLA VISTA CIR, FARMINGTON, NM 87401-9273
(801) 548-3972
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
7775760-3502
UT
101YM0800X
Mental Health Counselor
7775760-3502
UT
1041C0700X
Clinical Social Worker
Primary
7775760-3502
UT
Other
Enumeration date
03/27/2012
Last updated
09/26/2016
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