Doctor Name: | MS. CHRISTINA MARIE PATTERSON |
NPI Number: | 1023302569 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | P0904111054 |
Business Practice Address: | 160 E Holt Ave Ste B Pomona, CA - 917675407 |
Business Phone Number: | 9096202521 |
Business Fax Number: | |
Mailing Address: | 3250 Panorama Rd Apt 98, RIVERSIDE |
State: | CA |
Postal Code: | 925061383 |
Phone Number: | 9512634281 |
Fax Number: | |
NPI Enumeration Date: | 06/01/2011 |
NPI Last Update Date: | 06/01/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | P0904111054 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |