Russell Bates, LLC
NPI 1043592991 · on the registry since 2011 · sole proprietor
Practice
- Address
- 40 Jefferson Ave Se
Grand Rapids, MI 49503 - Phone
- (616) 456-1443
- Fax
- (616) 732-6392
- Organisation at this address
- Catholic Social Services
Catholic Social Services
Catholic Charities West Michigan
Catholic Charities West Michigan
Catholic Charities West MichiganInferred from a shared address, not stated in the registry. - Clinicians at this address
- 48
Registry record
- Primary taxonomy
- Counselor
101Y00000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2011-09-16
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan