Healthcare Provider Details

I. General information

NPI: 1497184949
Provider Name (Legal Business Name): ED PATTON LLC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/05/2013
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 3RD AVE SE STE 402
ROCHESTER MN
55904-4613
US

IV. Provider business mailing address

300 3RD AVE SE STE 402
ROCHESTER MN
55904-4613
US

V. Phone/Fax

Practice location:
  • Phone: 507-884-6287
  • Fax: 507-258-4022
Mailing address:
  • Phone: 507-884-6287
  • Fax: 507-218-1440

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number2676
License Number StateMN

VIII. Authorized Official

Name: RALPH EDWARD PATTON
Title or Position: OWNER
Credential: DMFT, LMFT
Phone: 507-884-6287