Individual
CORY BATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW, LCAS-A
Contact information
Practice address
510 N ELAM AVE STE 301, GREENSBORO, NC 27403-1142
(336) 832-9800
(336) 832-1369
Mailing address
510 N ELAM AVE STE 301, GREENSBORO, NC 27403-1142
(336) 832-9800
(336) 832-1369
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCAS-24678
NC
1041C0700X
Clinical Social Worker
Primary
C013190
NC
1041C0700X
Clinical Social Worker
P012511
NC
Other
Enumeration date
06/01/2018
Last updated
11/18/2020
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