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NPI Code Detail

MEDICARE: LAQUONDRA SYRINA PATTERSON LPC

MEDICARE:   LAQUONDRA SYRINA PATTERSON  LPC
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
1101YP2500XProfessional Counselor11115LA
2101YP2500XProfessional Counselor70203TX

General Provider Information

NPI Number : 1396141362
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAQUONDRA SYRINA PATTERSON LPC
Provider Business Mailing Address
First Line : 2027 FAIRWOOD KNOLL LN
Second Line :
City : FRESNO
State : TX
Zip : 77545-7098
Country : US
Telephone Number : 713-369-1990
Fax Number :
Provider Business Practice Location Address
First Line : 2027 FAIRWOOD KNOLL LN
Second Line :
City : FRESNO
State : TX
Zip : 77545-7098
Country : US
Telephone Number : 713-369-1990
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/18/2014
Last Update Date : 04/13/2026

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Directions to “ LAQUONDRA SYRINA PATTERSON LPC” Practice Location

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