| Doctor Name: | KATHARINE BATES |
| NPI Number: | 1912266578 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.ED |
| License Number: | CC563 |
| Business Practice Address: | 1073 W Main St Dover Foxcroft, ME - 044263742 |
| Business Phone Number: | 2075640200 |
| Business Fax Number: | 2075640352 |
| Mailing Address: | 180 Main St, WATERVILLE |
| State: | ME |
| Postal Code: | 049016666 |
| Phone Number: | 2078725300 |
| Fax Number: | 2076802142 |
| NPI Enumeration Date: | 05/16/2012 |
| NPI Last Update Date: | 05/16/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | CC563 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ME |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |