Individual
CHEYENNE LEE PATTERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RADT-1
Contact information
Practice address
5494 PONY EXPRESS TRAIL, CAMINO, CA 95709
(530) 626-7383
Mailing address
PO BOX 1666, PLACERVILLE, CA 95667-1666
(530) 626-9240
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
R1453741221
CA
Other
Enumeration date
12/27/2021
Last updated
12/27/2021
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