Douglas Alan Bates, LCSW, LISAC, ACHP-SW
Social Worker, Clinical in Chandler, AZ. Individual provider (NPI-1).
NPI number1245726876
StatusActive
Last updated in NPPESJul 6, 2018
Details
- NPI
- 1245726876
- Entity type
- Individual (NPI-1)
- Name
- Mr. Douglas Alan Bates
- Credential
- LCSW, LISAC, ACHP-SW
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 6, 2018
- Last updated
- Jul 6, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 16152 | AZ | Yes |
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | 11481 | AZ | |
| 1041C0700X | Social Worker, Clinical | 28616 | CA |
Practice location
3861 E Gleneagle PlChandler, AZ 85249-9443
Phone 623-695-3460
Mailing address
3861 E Gleneagle PlChandler, AZ 85249-9443
Phone 623-695-3460
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