Individual
TIMMOTHY PATTERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
715 HOWARD AVE, BILOXI, MS 39530-4305
(228) 383-6989
Mailing address
1286 FATHER RYAN AVE, BILOXI, MS 39530-3632
(601) 522-8902
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
3376
MS
101Y00000X
Counselor
Primary
P-1062
MS
101YM0800X
Mental Health Counselor
3376
MS
101YM0800X
Mental Health Counselor
P-1062
MS
Other
Enumeration date
12/18/2023
Last updated
05/07/2026
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