Individual
CRISTIN BATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
284 MARTIN ST, TWIN FALLS, ID 83301-4542
(208) 404-4131
Mailing address
2011 N KENNEDY ST, JEROME, ID 83338-4913
(208) 404-4131
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LAMFT-7126
ID
Other
Enumeration date
08/05/2020
Last updated
08/05/2020
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