Individual
HENRY KATES JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAC
Contact information
Practice address
2605 CIRCLE DR SE, JAMESTOWN, ND 58401
(701) 253-3650
Mailing address
2605 CIRCLE DR SE, JAMESTOWN, ND 58401
(701) 253-3650
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1396
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
019170
BCBS PROVIDER NUMBER
ND
Enumeration date
11/15/2006
Last updated
10/30/2008
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