Individual
BRADLEY F BATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1180 3RD AVE STE C3, CHULA VISTA, CA 91911-3139
(619) 691-8164
Mailing address
1400 N JOHNSON AVE STE 101, EL CAJON, CA 92020-1651
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
146D00000X
Personal Emergency Response Attendant
—
—
146L00000X
Paramedic
—
—
146M00000X
Intermediate Emergency Medical Technician
—
—
146N00000X
Basic Emergency Medical Technician
—
—
171M00000X
Case Manager/Care Coordinator
—
—
225800000X
Recreation Therapist
—
—
226000000X
Recreational Therapist Assistant
—
—
374K00000X
Religious Nonmedical Practitioner
—
—
Other
Enumeration date
08/21/2024
Last updated
08/21/2024
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