Individual
JAMES ARTER PATTERSON V
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
19036 RICHNER RD, CHUGIAK, AK 99567-6726
(719) 650-0275
Mailing address
PO BOX 5563, JBER, AK 99505-0563
(719) 650-0275
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC.0013507
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LPC.0013507
STATE LICENSED LPC
CO
Enumeration date
08/15/2022
Last updated
08/15/2022
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