Jennifer J Bates in Canton - Mental Health

Jennifer J Bates - NPI 1700933074

Jennifer J Bates is a Mental Health in Canton, Illinois. Jennifer J Bates practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Jennifer J Bates is 1700933074. The last update date is 2009-03-04.

Jennifer J Bates's current location address is 162 E Chestnut St Ste C, Canton, Illinois. You can contact this provider via phone number 3096491660 and fax number 3096491660. The mailing address for Jennifer J Bates is 162 E Chestnut St Ste C, Canton, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Jennifer J Bates
Address 162 E Chestnut St Ste C, Canton, Illinois
Phone Number 3096491660
Fax Number 3096491660
Sole Proprietor Y
Credentials LCPC

NPI Number Detail

NPI Number 1700933074
Provider Enumeration Date 2007-01-05
Last Updated Date 2009-03-04

Provider Mailing Address Detail

Address 162 E Chestnut St Ste C
City Canton
State Illinois (IL)
Post Code 615202769
Phone Number 3096491660
Fax Number 3096491660

Provider's Primary Taxonomy Detail

Speciality Mental Health
Taxonomy 101Ym0800X
Licence No 180-003260
Definition:
A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more.

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FAQs about Jennifer J Bates

What is the unique identification code assigned to Jennifer J Bates by the Centers for Medicare & Medicaid Services?

The Jennifer J Bates has been issued the NPI (National Provider Identifier) 1700933074. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Jennifer J Bates is physically located?

The Jennifer J Bates is situated at the following address: 162 E Chestnut St Ste C, Canton, IL 615202769.

What is the area of specialization for Jennifer J Bates, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Jennifer J Bates is Mental Health, and the corresponding taxonomy code that categorizes this area of expertise is 101Ym0800X.

On what date did Jennifer J Bates receive its 1700933074 assignment from the Centers for Medicare & Medicaid Services?

The Jennifer J Bates was assigned its 1700933074 on 2007-01-05, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details related to Jennifer J Bates most recently updated or revised?

The information pertaining to Jennifer J Bates, including its address, specialty, and other relevant details, was last updated or revised on 2009-03-04.

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