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Individual
TIMMOTHY PATTERSON
Active
Individual
TIMMOTHY PATTERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
3376
MS
101Y00000X
Counselor
Primary
P-1062
MS
101YM0800X
Mental Health Counselor
3376
MS
101YM0800X
Mental Health Counselor
P-1062
MS
Other
Enumeration date
12/18/2023
Last updated
05/07/2026
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