Mallisa P Bates

NPI #1770047425 in Brookings, Oregon

Provider Information

NPI Number: 1770047425
Entity Type: Individual
Name: Mallisa P Bates
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Mental Health
Enumeration Date: Jan 28, 2019
Last Updated: Jan 28, 2019

Practice Location

Address: 210 COVE RD
City: Brookings
State: Oregon
ZIP Code: 97415-2520
Phone: (541) 469-0222

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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