Individual
HAROLD EDWARD BATES SR SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LADAC II , MAC
Contact information
Practice address
5565 BROOK SHADE LN, MEMPHIS, TN 38125-4198
(901) 308-9271
Mailing address
1910 MADISON AVE # 3013, MEMPHIS, TN 38104-2620
(901) 308-9271
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LDC619
TN
Other
Enumeration date
10/05/2021
Last updated
10/05/2021
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