Individual provider · Type 1 NPI

Russell Walton Bates Jr., LLC

Counselor · Grand Rapids, MI

NPI number 1043592991 Active

Practice location

40 Jefferson Ave SE
Grand Rapids, MI 49503-4304

Call (616) 456-1443 Map

Fax (616) 732-6392

Mailing address

9787 US Highway 31
Berrien Springs, MI 49103-9543

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000X6401011607 (MI)

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

53 other providers at this address

Other counselor providers in Grand Rapids

See all in Grand Rapids →

About NPI 1043592991

Russell Walton Bates Jr., LLC's National Provider Identifier is 1043592991, issued on Sep 16, 2011. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Grand Rapids, MI. The record was last updated on Sep 16, 2011.