Female

Teresa A. Bates MS, APC, NCC

Mental Health Counselor in Martinez, GA(View on Map)

Full Name

Teresa Ann Bates MS, APC, NCC

NPI Number

1831456607

NPI Type

Individual Provider

Gender

Female

Enumeration Date

04/18/2012

Specialties

(Taxonomies)

Code

101YM0800X
106H00000X

Primary Taxonomy

Yes
No

Licenses

State

Georgia

License Number

APC007901

Contact
Information

Purpose

Mailing
Location

Address

4145 COLUMBIA RD.
4145 COLUMBIA RD.

City

Martinez
Martinez

State

GA
GA

Postal Code

30907
30907

Country

US
US

Telephone Number

(706) 869-7373
(706) 869-7373

Identifiers

Identifier

485569088A21

Identifier State

GA

Identifier Issuer

Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/05/2021

Provider Address

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