# WELLNESS WITH PAT

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1730485806
- **Authorized official:** MRS. PATRICIA LOUISE JACKSON-ISTAS LSCSW (CLINICAL SOCIAL WORKER)
- **Authorized official phone:** (785) 313-0900

## Contact information

- **Practice address:** 2048 STEPHEN CT, MANHATTAN, KS 66503-7590
- **Practice address phone:** (785) 313-0900
- **Practice address fax:** (785) 537-8028
- **Mailing address:** 2048 STEPHEN CT, MANHATTAN, KS 66503-7590
- **Mailing address phone:** (785) 313-0900
- **Mailing address fax:** (785) 537-8028

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |

## Other

- **Enumeration date:** 02/07/2011
- **Last updated:** 02/07/2011