Individual provider · Type 1 NPI
Harold Edward Bates SR Sr., LADAC II, MAC
Addiction (Substance Use Disorder) Counselor · Memphis, TN
NPI number
1720740962
Active
Practice location
5565 Brook Shade Ln
Memphis, TN 38125-4198
Mailing address
1910 Madison Ave # 3013
Memphis, TN 38104-2620
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | LDC619 (TN) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1720740962
Harold Edward Bates SR Sr., LADAC II, MAC's National Provider Identifier is 1720740962, issued on Oct 5, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Memphis, TN. The record was last updated on Oct 5, 2021.