Individual
ANGELA L PATTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
44 E MAIN ST, SUITE 406, CHAMPAIGN, IL 61820-3636
(217) 398-9066
Mailing address
44 E MAIN ST, SUITE 406, CHAMPAIGN, IL 61820-3636
(217) 398-9066
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
178007610
IL
Other
Enumeration date
09/08/2011
Last updated
09/08/2011
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