Individual
CAROL JEAN PATTERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC, LPC
Contact information
Practice address
1600 SAINT MICHAELS DR, STUDENT HEALTH CENTER, SANTA FE, NM 87505-7615
(505) 473-6362
Mailing address
1600 SAINT MICHAELS DR, STUDENT HEALTH CENTER, SANTA FE, NM 87505-7615
(505) 473-6362
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LH60160858
WA
101YP2500X
Professional Counselor
LPC0012189
CO
101YP2500X
Professional Counselor
Primary
LPCC0176101
NM
Other
Enumeration date
06/22/2011
Last updated
12/06/2015
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