Individual
KARA BATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, CRC
Contact information
Practice address
12451 STABLE DR, NEW LONDON, MO 63459-2404
(573) 207-9338
Mailing address
12451 STABLE DR, NEW LONDON, MO 63459-2404
(573) 207-9338
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
2020024465
MO
Other
Enumeration date
01/26/2022
Last updated
01/26/2022
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