NPI | 1700154127 |
---|---|
Former Name | COLANA PATRICE BATES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 72476) |
Additional Taxonomies | 101Y00000X Counselor (Licence: TX 72476) |
101YA0400X Counselor, Addiction (Substance Use Disorder) | |
101YM0800X Counselor, Mental Health (Licence: FL TPMC4791) | |
101YM0800X Counselor, Mental Health (Licence: TX 72476) | |
Enumeration Date | 2011-12-13 |
Last Update Date | 2025-02-27 |