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NPI Code Detail

MEDICARE: FREDA PATTERSON

MEDICARE: FREDA PATTERSON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171M00000XCase Manager/Care Coordinator
2101YA0400XAddiction (Substance Use Disorder) Counselor5638LA

General Provider Information

NPI Number : 1215496625
Entity Type Code : Individual
Provider Name (Legal Business Name) : FREDA PATTERSON
Provider Business Mailing Address
First Line : 805 N BEECH ST
Second Line :
City : TALLULAH
State : LA
Zip : 71282-3809
Country : US
Telephone Number : 318-574-0098
Fax Number :
Provider Business Practice Location Address
First Line : 805 N BEECH ST
Second Line :
City : TALLULAH
State : LA
Zip : 71282-3809
Country : US
Telephone Number : 318-574-0098
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/15/2019
Last Update Date : 03/03/2026

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Directions to “ FREDA PATTERSON ” Practice Location

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