Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Russell Walton Bates Jr., LLC

Individual provider Counselor · NPI 1043592991

Russell Walton Bates Jr., LLC is a Counselor in Grand Rapids, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2011
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Practice location Address checks out

40 Jefferson Ave SE
Grand Rapids, MI 49503-4304
Phone: (616) 456-1443
Fax: (616) 732-6392
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X · Licence 6401011607 (MI)

Record details

NPI number1043592991
Entity typeIndividual (Type 1)
GenderMale
Credentials LLC
Sole proprietorYes
NPI enumeratedSeptember 16, 2011
Last updated in NPPESSeptember 16, 2011

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