MRS. Jennifer J Bates, LCPC

NPI #1700933074 in Canton, Illinois

Provider Information

NPI Number
1700933074
Entity Type
Individual
Name
MRS. Jennifer J Bates, LCPC
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Mental Health
Credential
LCPC
Enumeration Date
Jan 5, 2007
Last Updated
Mar 4, 2009

Practice Location

Address
162 E CHESTNUT ST
Address 2
SUITE C
City
Canton
ZIP Code
61520-2769
Phone
(309) 649-1660

Specialties & Taxonomy Codes

Specialty
Counselor - Mental HealthMental Health

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