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NPI Code Detail

MEDICARE: LEANN M BATES

MEDICARE:   LEANN M BATES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional CounselorE000723OH
2101YP2500XProfessional Counselor1954WV

General Provider Information

NPI Number : 1386685790
Entity Type Code : Individual
Provider Name (Legal Business Name) : LEANN M BATES
Provider Business Mailing Address
First Line : 201B
Second Line :
City : MARIETTA
State : OH
Zip : 45750-3138
Country : US
Telephone Number : 740-350-7568
Fax Number :
Provider Business Practice Location Address
First Line : 2121 7TH ST
Second Line :
City : PARKERSBURG
State : WV
Zip : 26101-3803
Country : US
Telephone Number : 304-485-1721
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/08/2006
Last Update Date : 03/15/2010

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Directions to “ LEANN M BATES ” Practice Location

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