Iranetta Bates
NPI #1356065197 in Forest, Mississippi
Provider Information
- NPI Number
- 1356065197
- Entity Type
- Individual
- Name
- Iranetta Bates
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor
- Enumeration Date
- Sep 26, 2022
- Last Updated
- Sep 26, 2022
Practice Location
- Address
- 2071 HIGHWAY 35 S STE C
- City
- Forest
- State
- Mississippi
- ZIP Code
- 39074-7838
- Phone
- (601) 469-2422
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor |
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