Healthcare Provider Details

I. General information

NPI: 1265785505
Provider Name (Legal Business Name): KAREN PATTON LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/24/2012
Last Update Date: 02/02/2026
Certification Date: 02/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6350 CERRITOS AVE
LONG BEACH CA
90805-2414
US

IV. Provider business mailing address

6350 CERRITOS AVE
LONG BEACH CA
90805-2414
US

V. Phone/Fax

Practice location:
  • Phone: 562-308-6922
  • Fax: 562-724-6443
Mailing address:
  • Phone: 562-308-6922
  • Fax: 562-724-6443

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLCS 25810
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: