Individual
CHRISTINA PATTERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
259 E OAKDALE AVE, CRESTVIEW, FL 32539-3547
(850) 682-1234
Mailing address
259 E OAKDALE AVE, CRESTVIEW, FL 32539-3547
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
IMH18983
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
IMH18983
LICENSE
—
Enumeration date
01/13/2022
Last updated
01/13/2022
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