Individual
JENNIFER BATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
845 CENTRAL AVE, ALBANY, NY 12206-1514
(518) 482-2455
Mailing address
845 CENTRAL AVE, ALBANY, NY 12206-1514
(518) 482-2455
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
12/12/2007
Last updated
12/12/2007
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