RUSSELL WALTON BATES LLC NPI 1043592991

NPI Information

Russell Walton Bates, LLC is a counselor in Grand Rapids, MI. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. Russell Walton Bates, LLC NPI is 1043592991. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

40 JEFFERSON AVE SE
GRAND RAPIDS, MI
ZIP 49503-304
Phone: (616) 456-1443
Fax: (616) 732-6392

The enumeration date for this NPI number is 9/16/2011 and was last updated on 9/16/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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