Individual
LOIS GATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MAC, CADC III, QMHP
Contact information
Practice address
17 SW FRAZER AVE STE 282, PENDLETON, OR 97801-0048
(541) 278-6330
(541) 278-5419
Mailing address
512 W IDAHO ST, SUITE 104, BOISE, ID 83702-5908
(541) 379-9713
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
09/18/2014
Last updated
05/13/2019
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