Healthcare Provider Details

I. General information

NPI: 1689257396
Provider Name (Legal Business Name): SARAH R PATTERSON CADC II, MATS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/30/2021
Last Update Date: 04/30/2026
Certification Date: 04/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

231 2ND ST
EUREKA CA
95501-0319
US

IV. Provider business mailing address

720 WOOD ST
EUREKA CA
95501-4413
US

V. Phone/Fax

Practice location:
  • Phone: 707-476-4054
  • Fax: 707-441-3776
Mailing address:
  • Phone: 707-476-4056
  • Fax: 707-441-3776

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberA049300318
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: