| Doctor Name: | MR. CHARLES EDWARD BATES |
| NPI Number: | 1134152853 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.S. |
| License Number: | LH00006766 |
| Business Practice Address: | 4044 15th Ave Se Suite A Lacey, WA - 985036962 |
| Business Phone Number: | 3604914460 |
| Business Fax Number: | |
| Mailing Address: | Po Box 4453, TUMWATER |
| State: | WA |
| Postal Code: | 985010453 |
| Phone Number: | 3609560271 |
| Fax Number: | |
| NPI Enumeration Date: | 07/08/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | LH00006766 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |