Individual
DEBORAH SHAVER-BATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
202 BRADFORD ST, KEENAN HOUSE, PITTSFIELD, MA 01201-4565
(413) 499-2756
Mailing address
1115 NORTH ST, PITTSFIELD, MA 01201-1521
(413) 499-2756
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
07/16/2007
Last updated
07/16/2007
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