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NPI Code Detail

MEDICARE: LISA MARIA PATTERSON LPC LMHC

MEDICARE:   LISA MARIA PATTERSON  LPC LMHC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor2072 LPCAL
2101YM0800XMental Health CounselorMH 10733FL

General Provider Information

NPI Number : 1336229525
Entity Type Code : Individual
Provider Name (Legal Business Name) : LISA MARIA PATTERSON LPC LMHC
Provider Business Mailing Address
First Line : 1113 SANFORD RD
Second Line :
City : ANDALUSIA
State : AL
Zip : 36420-4151
Country : US
Telephone Number : 334-488-5959
Fax Number :
Provider Business Practice Location Address
First Line : 125 MEDICAL PARK DR STE 103
Second Line :
City : ANDALUSIA
State : AL
Zip : 36420-5302
Country : US
Telephone Number : 334-488-5959
Fax Number : 334-222-1995
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/16/2006
Last Update Date : 12/21/2021

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Directions to “ LISA MARIA PATTERSON LPC LMHC” Practice Location

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