Individual
DR. KENNETH VAUGHN BATEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ED.D., LPC, LMFT
Contact information
Practice address
1701 N COLLINS BLVD STE 310, RICHARDSON, TX 75080-3553
(972) 680-8986
(972) 680-9216
Mailing address
1701 N COLLINS BLVD STE 310, RICHARDSON, TX 75080-3553
(972) 680-8986
(972) 680-9216
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
8737
TX
106H00000X
Marriage & Family Therapist
Primary
415
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4175LC
BCBS PROVIDER
TX
Enumeration date
08/04/2006
Last updated
09/11/2025
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