Individual
ANGELA BATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11600 CEDARVILLE RD, BRANDYWINE, MD 20613-7968
(301) 262-2270
Mailing address
10808 PHILLIPS DR, UPPER MARLBORO, MD 20772-4624
(301) 704-1445
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
LC14278
MD
Other
Enumeration date
08/30/2021
Last updated
08/31/2023
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