Organization · Type 2 NPI
Jeffrey D Bates LPCC PLLC
Clinic/Center · Fargo, ND
NPI number
1154950244
Active
Practice location
1351 Page Dr S Ste 104
Fargo, ND 58103-3536
Fax (701) 532-0788
Mailing address
3453 Interstate Blvd S Ste B
Fargo, ND 58103-2257
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor | 101YP2500X | None listed |
| Clinic/Center Primary | 261Q00000X | None listed |
Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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About NPI 1154950244
Jeffrey D Bates LPCC PLLC's National Provider Identifier is 1154950244, issued on Apr 2, 2020. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Fargo, ND. The record was last updated on Oct 15, 2021.