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Individual

DAVID B BATES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPC

Contact information

Practice address
122 10TH AVENUE, FAIRBANKS, AK 99701
(907) 457-6002
(907) 457-3610
Mailing address
PO BOX 10337, FAIRBANKS, AK 99710-0337
(907) 457-6002

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
408
AK

Other

Enumeration date
12/21/2006
Last updated
12/29/2017
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