Individual
JADA BATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5118 PARK AVE STE 505, MEMPHIS, TN 38117-5713
(901) 528-9863
Mailing address
1839 MADISON AVE APT 322, MEMPHIS, TN 38104-2793
(404) 640-9020
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/19/2025
Last updated
06/19/2025
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