Healthcare Provider Details

I. General information

NPI: 1780507970
Provider Name (Legal Business Name): ERIC JAMES PATTERSON
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/03/2026
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4006A CLEVELAND AVE
WELLINGTON CO
80549-5056
US

IV. Provider business mailing address

PO BOX 131
WELLINGTON CO
80549-0131
US

V. Phone/Fax

Practice location:
  • Phone: 970-430-2762
  • Fax:
Mailing address:
  • Phone: 970-430-2762
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberMFT.0003204
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: