Bathel, Gordon Dean

Bathel, Gordon Dean is an sole proprietor health care provider with primary practice located at 5210 E Pima St Suite #140, Tucson AZ 85712-3664. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Bathel, Gordon Dean can be contacted via phone (520) 275-6780.

Contact Information

Primary practice address
5210 E Pima St Suite #140 Tucson AZ 85712-3664
Phone: (520) 275-6780
Fax: (520) 795-3575
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X LISAC-0167 Arizona
Behavioral Health & Social Service Providers / Clinical 1041C0700X LCSW-0974 Arizona

Profile Details

NPI number 1215959192
LBN Legal business name Bathel, Gordon Dean
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 23rd, 2006
Last updated Apr 18th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215959192 NPPES
Arizona MEDICAID CSW9741

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