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STEFAN BATE MA, LAC

Addiction (Substance Use Disorder) >> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1487108882

Individual Registrant:
 STEFAN  BATE MA, LAC
Gender: M
Not Sole Proprietor

Location and contact information for practice:
520 S 3RD ST  CARBONDALE, CO 81623-2059 US
Tel: 970-618-2913  Fax: --

Contact information for business:
520 S 3RD ST  CARBONDALE, CO 81623-2059 US
Tel: --  Fax: --

Registration Information:
NPI: 1487108882
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101YA0400XBehavioral Health & Social Service Providers
Counselor
Addiction (Substance Use Disorder)
COACD.0000612

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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