David B Bates, LPC
Individual provider Active NPI Professional Counselor · Fairbanks, AK
NPI 1942364112 · NPPES record last updated Dec 29, 2017
Key facts
- NPI
- 1942364112
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 408 (AK)
- Practice address
- 122 10TH Avenue
Fairbanks, AK 99701 - Phone
- (907) 457-6002
- Fax
- (907) 457-3610
- NPI assigned
- Dec 21, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 408 | AK | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fairbanks Youth Advocates | Professional | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 408 | AK | Yes |
Addresses
Primary practice location
122 10TH Avenue
Fairbanks, AK 99701
Mailing address
PO Box 10337
Fairbanks, AK 99710-0337
Phone (907) 457-6002
Other providers in Fairbanks, AK
- Fred D Bast
- John P Bast
- Kelly Catherine Bast
- Celina Batchelder
- Brianna Bates
- Sha-Raya Lynn Bates
- Marcia Batiste
- Kevin Baum
- Joshua John Baumgartner
- Karl Bruno Baurick
All providers in Fairbanks, AK · Professional Counselor in Alaska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 29, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.