Individual
JENNIFER BATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, MDIV
Contact information
Practice address
500 OLD LYNCHBURG RD, CHARLOTTESVILLE, VA 22903-6500
(434) 972-1800
(494) 972-1831
Mailing address
500 OLD LYNCHBURG RD, CHARLOTTESVILLE, VA 22903-6500
(434) 972-1800
(494) 972-1831
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904008503
VA
Other
Enumeration date
07/06/2011
Last updated
04/09/2014
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