Individual
KATHARINE BATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED
Contact information
Practice address
1073 W MAIN ST, DOVER FOXCROFT, ME 04426-3742
(207) 564-0200
(207) 564-0352
Mailing address
180 MAIN ST, WATERVILLE, ME 04901-6666
(207) 872-5300
(207) 680-2142
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CC563
ME
Other
Enumeration date
05/16/2012
Last updated
05/16/2012
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