Individual provider · Type 1 NPI

Geraldine Bates, LCSW

Mental Health Counselor · Jackson, MS

NPI number 1124032677 Active

Practice location

248 E Capitol St, 840 Trust Mark Bldg
Jackson, MS 39201-2503

Mailing address

278 Mary Magdalene Rd
Hattiesburg, MS 39401-8493

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XC0717 (MS)

Mental Health Counselor: Definition to come...

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About NPI 1124032677

Geraldine Bates, LCSW's National Provider Identifier is 1124032677, issued on Jul 28, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Jackson, MS. The record was last updated on Jul 8, 2007.