Individual provider · Type 1 NPI

Mallisa P. Bates

Mental Health Counselor · Brookings, OR

NPI number 1770047425 Active

Practice location

210 Cove Rd
Brookings, OR 97415-2520

Call (541) 469-0222 Map

Fax (541) 469-0228

Mailing address

3587 Heathrow Way
Medford, OR 97504-4004

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

45 other providers at this address

Other mental health counselor providers in Brookings

See all in Brookings →

About NPI 1770047425

Mallisa P. Bates's National Provider Identifier is 1770047425, issued on Jan 28, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Brookings, OR. The record was last updated on Jan 28, 2019.