Organization
SUSAN I BATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN I BATES MA, LCDC (THERAPIST)
(512) 689-6595
Entity
Organization
Contact information
Practice address
1209 PARKWAY, AUSTIN, TX 78703-4132
(512) 689-6595
Mailing address
1209 PARKWAY, AUSTIN, TX 78703-4132
(512) 689-6595
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
11451
TX
Other
Enumeration date
06/11/2014
Last updated
06/11/2014
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