Individual
MICHAEL SHANE PATTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CAC II
Contact information
Practice address
1309 10TH AVE, GREELEY, CO 80631-3832
(970) 347-2120
Mailing address
1300 N 17TH AVE, GREELEY, CO 80631-9584
(970) 347-2120
(970) 300-3133
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
ACB.0007452
CO
Other
Enumeration date
02/24/2014
Last updated
02/24/2014
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