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NPI Code Detail

MEDICARE: DR. JASON PATTON LPC-S

MEDICARE: DR. JASON PATTON LPC-S
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
1101YP2500XProfessional Counselor62503TX

General Provider Information

NPI Number : 1619110343
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JASON PATTON LPC-S
Provider Business Mailing Address
First Line : PO BOX 600843
Second Line :
City : DALLAS
State : TX
Zip : 75360-0843
Country : US
Telephone Number : 512-496-7562
Fax Number :
Provider Business Practice Location Address
First Line : 5544 RICHARD AVE
Second Line :
City : DALLAS
State : TX
Zip : 75206-6716
Country : US
Telephone Number : 512-496-7562
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/10/2009
Last Update Date : 12/30/2020

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Directions to “ DR. JASON PATTON LPC-S” Practice Location

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