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General NPI Number Information
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NPI Number | 1891940854
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Entity Type | Individual
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Provider Name | JON C PATTERSON LPC
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Gender | Male
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Dates
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Enumeration Date | 11/18/2008
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Last Update Date | 10/08/2025
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Provider Practice Location Address
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Address Line | 345 BOULEVARD NE SUITE 100
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City | ATLANTA
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State | GA
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Zip | 30312-1216
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Country | US
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Telephone | 404-234-6117
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Fax | 404-604-3705
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Provider Business Mailing Address
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Address Line | 410 FORREST RD
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City | COLLEGE PARK
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State | GA
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Zip | 30349-2708
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Country | US
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Telephone | 404-234-6117
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Fax | 404-604-3705
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LPC005240
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License Number State | GA
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