MEDICARE: MRS. VANESSA KATHRINE PATTERSON M.A., LMFT

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
1	106H00000X	Marriage & Family Therapist	MFC 48940	CA
2	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1306059878
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. VANESSA KATHRINE PATTERSON M.A., LMFT

Provider Business Mailing Address
First Line	:	909 ELECTRIC AVE STE 308
Second Line	:
City	:	SEAL BEACH
State	:	CA
Zip	:	90740-8903
Country	:	US
Telephone Number	:	562-708-2015
Fax Number	:

Provider Business Practice Location Address
First Line	:	15052 SPRINGDALE ST STE F
Second Line	:
City	:	HUNTINGTON BEACH
State	:	CA
Zip	:	92649-1116
Country	:	US
Telephone Number	:	562-708-2015
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/08/2007
Last Update Date	:	02/06/2026

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