| Doctor Name: | RONALD F BATES |
| NPI Number: | 1063829406 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MA |
| License Number: | AC1145 |
| Business Practice Address: | 3003 Hospital Dr Ground Floor Cheverly, MD - 207851194 |
| Business Phone Number: | 3015835920 |
| Business Fax Number: | |
| Mailing Address: | 3003 Hospital Dr, Ground Floor CHEVERLY |
| State: | MD |
| Postal Code: | 207851194 |
| Phone Number: | 3015835920 |
| Fax Number: | |
| NPI Enumeration Date: | 07/17/2014 |
| NPI Last Update Date: | 07/17/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | AC1145 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |