Individual provider · Type 1 NPI
Jennifer J. Bates, LCPC
Mental Health Counselor · Canton, IL
NPI number
1700933074
Active
Practice location
162 E Chestnut St, Suite C
Canton, IL 61520-2769
Fax (309) 649-1660
Mailing address
162 E Chestnut St Ste C, P.o. Box 792
Canton, IL 61520-2769
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 180-003260 (IL) |
Mental Health Counselor: Definition to come...
2 other providers at this address
Other mental health counselor providers in Canton
About NPI 1700933074
Jennifer J. Bates, LCPC's National Provider Identifier is 1700933074, issued on Jan 5, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Canton, IL. The record was last updated on Mar 4, 2009.