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MRS. GLENDA BATES LMHC

Mental Health >> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1720251051

Individual Registrant:
MRS. GLENDA  BATES LMHC
Gender: F
Sole Proprietor

Location and contact information for practice:
1201 MAIN ST  SEBASTIAN, FL 32958-4165 US
Tel: 561-722-7084  Fax: 561-697-9925

Contact information for business:
1201 MAIN ST  SEBASTIAN, FL 32958-4165 US
Tel: --  Fax: 561-697-9925

Registration Information:
NPI: 1720251051
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101YM0800XBehavioral Health & Social Service Providers
Counselor
Mental Health
FLMH 9355

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
COMMERCIAL HEALTH INSURANCE1720251051FL01




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