Individual
PATRICIA COLLINS DODGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PPS
Contact information
Practice address
400 W LOMOND ST, BOULDER CREEK, CA 95006-9274
(831) 338-6413
Mailing address
400 W LOMOND ST, BOULDER CREEK, CA 95006-9274
(831) 338-6413
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
—
—
Other
Enumeration date
08/08/2025
Last updated
08/08/2025
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