Individual
CASSEY ANN BATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13333 PALMDALE RD, VICTORVILLE, CA 92392-9364
(760) 241-4917
Mailing address
17828 SEAFORTH ST, HESPERIA, CA 92345-7372
(442) 249-3203
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
101YA0400X
CA
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
CA
Other
Enumeration date
11/18/2021
Last updated
11/18/2021
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