Individual
CORINNE N BATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
10313 ABOITE CENTER RD, FORT WAYNE, IN 46804-5435
(260) 459-6010
Mailing address
1415 MAGNAVOX WAY STE 120, FORT WAYNE, IN 46804-1553
(260) 483-7207
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39005003A
IN
Other
Enumeration date
11/05/2018
Last updated
02/06/2025
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