Individual
CASSANDRA FAYE PATTERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
4829 E BELTLINE AVE NE, BUILDING 3, STE 303, GRAND RAPIDS, MI 49525-9350
(616) 202-2762
Mailing address
PO BOX 140241, GRAND RAPIDS, MI 49514-0241
(616) 735-1505
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401017265
MI
101YM0800X
Mental Health Counselor
6401015962
MI
101YP2500X
Professional Counselor
6401017265
MI
Other
Enumeration date
04/16/2017
Last updated
03/21/2024
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