Provider Demographics
NPI:1427720689
Name:BATES, MACEE LEE (CASE MANAGER 1)
Entity type:Individual
Prefix:MS
First Name:MACEE
Middle Name:LEE
Last Name:BATES
Suffix:
Gender:F
Credentials:CASE MANAGER 1
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:610 N STATE ST
Mailing Address - Street 2:
Mailing Address - City:UKIAH
Mailing Address - State:CA
Mailing Address - Zip Code:95482-4027
Mailing Address - Country:US
Mailing Address - Phone:707-727-0061
Mailing Address - Fax:
Practice Address - Street 1:610 N STATE ST
Practice Address - Street 2:
Practice Address - City:UKIAH
Practice Address - State:CA
Practice Address - Zip Code:95482-4027
Practice Address - Country:US
Practice Address - Phone:707-727-0061
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-05
Last Update Date:2021-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA171M00000X-CM171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator