DANIEL JOHN BATES

COBURG, OR
NPI1952013880
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence:   T-22-2192)
Enumeration Date2022-12-22
Last Update Date2022-12-22
Business Address
Mr. DANIEL JOHN BATES
1 SERENITY LN # 91150
COBURG, OR 97408-9350
Phone number: 541-220-5789
Mailing Address
Mr. DANIEL JOHN BATES
480 GILBERT ST
EUGENE, OR 97402-2332
Phone number: 541-220-5789