Provider Information for 1104538073
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Mrs. ALLISON EMILY BATES LPC, M.Ed, NCC
Sex: Female
NPI: 1104538073
Last Updated: 2024-12-02
Certification Date: 2024-12-02
Certification Date: 2024-12-02
Details
Name | Value | ||||||||
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NPI | 1104538073 | ||||||||
Enumeration Date | 2022-12-21 | ||||||||
NPI Type | NPI-1 Individual | ||||||||
Sole Proprietor | YES | ||||||||
Status | Active | ||||||||
Mailing Address | 820 N ALSTON ST STE A FOLEY, AL 36535-3510 United States Phone: 205-601-8311 | Fax: | ||||||||
Primary Practice Address | 820 N ALSTON ST STE A FOLEY, AL 36535-3510 United States Phone: 251-279-0860 | Fax: | ||||||||
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