Individual
JOVAT BATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
444 PINE RIDGE RD, PETERSBURG, VA 23805-1320
(804) 919-1126
Mailing address
444 PINE RIDGE RD, PETERSBURG, VA 23805-1320
(804) 919-1126
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
101YM0800X
VA
Other
Enumeration date
01/24/2014
Last updated
01/27/2014
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