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Contact Information

FRED BATES, M.ED., LCMHC, LADC
302 ROCKINGHAM RD
LONDONDERRY, NH03053-2103
 Phone: 603-296-4087
 Fax: 603-296-4089
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Mental Health

101YM0800X
 

Addiction (Substance Use Disorder)

101YA0400X
Indicates primary specialty

NPI Profile & details for FRED BATES · (Male)

NPI # 1174622419
Status Active
Credentials M.ED., LCMHC, LADC
Entity Individual
Enumeration date 09/22/2006
Last updated 09/11/2025 - About 9 months ago
Sole proprietor 1 No
Identifiers
  • NH License # 331
  • NH License # 460
  • NH Medicaid 30420929
  • NH Other 14Y000994NH01 BLUE CROSS BLUE SHIELD NH
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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