Doctor Name: | KRISTEN GREGORY PATTERSON |
NPI Number: | 1114325958 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | 0701006006 |
Business Practice Address: | 24 Clay St Martinsville, VA - 241122810 |
Business Phone Number: | 2766327128 |
Business Fax Number: | 2766320127 |
Mailing Address: | 24 Clay St, MARTINSVILLE |
State: | VA |
Postal Code: | 241122810 |
Phone Number: | 2766327128 |
Fax Number: | 2766320127 |
NPI Enumeration Date: | 12/10/2014 |
NPI Last Update Date: | 12/10/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 0701006006 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |