Individual
MR. CLINTON C PATTON SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
4801 N CLASSEN BLVD STE 135, OKLAHOMA CITY, OK 73118-4624
(405) 532-4955
Mailing address
2410 W MEMORIAL RD # 112, OKLAHOMA CITY, OK 73134-8047
(405) 446-5597
(405) 378-2212
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200375320A
—
OK
Enumeration date
06/30/2009
Last updated
05/13/2019
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