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General NPI Number Information
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NPI Number | 1205322922
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Entity Type | Individual
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Provider Name | HEATHER PATTERSON LPCC
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Gender | Female
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Dates
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Enumeration Date | 07/05/2018
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Last Update Date | 02/11/2024
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Provider Practice Location Address
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Address Line | 1169 EASTERN PKWY
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City | LOUISVILLE
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State | KY
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Zip | 40217-1417
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Country | US
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Telephone | 502-694-0830
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Fax |
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Provider Business Mailing Address
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Address Line | 1000 PERTHSHIRE LN APT 2
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City | LOUISVILLE
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State | KY
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Zip | 40222-7739
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Country | US
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Telephone | 502-794-9682
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 267454
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 284868
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License Number State | KY
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