Individual
JUDY ELLEN PATTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CDP
Contact information
Practice address
3420 NE SAND HILL RD, BELFAIR, WA 98528-9007
(360) 277-2434
Mailing address
12912 WALLACE RD SE, OLALLA, WA 98359-9521
(360) 286-8196
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP60080365
WA
Other
Enumeration date
11/06/2018
Last updated
11/06/2018
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