Individual provider · Type 1 NPI
Tiffany Bates, PhD
Professional Counselor · Ruston, LA
NPI number
1134595523
Active
Practice location
412 S Trenton St
Ruston, LA 71270-5031
Mailing address
1603 Bistineau St
Ruston, LA 71270-5210
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 2700 (LA) |
Professional Counselor: Definition to come...
Another provider at this address
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About NPI 1134595523
Tiffany Bates, PhD's National Provider Identifier is 1134595523, issued on Aug 19, 2015. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Ruston, LA. The record was last updated on Aug 19, 2015.