Individual
SAMUEL BATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
13000 HARBOR CENTER DR STE 302, WOODBRIDGE, VA 22192-2847
(703) 492-2994
Mailing address
13000 HARBOR CENTER DR STE 302, WOODBRIDGE, VA 22192-2847
(703) 492-2994
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
0717002027
VA
Other
Enumeration date
10/11/2023
Last updated
10/11/2023
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