Individual
TYRONE PATTERSON SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1900 MASSACHUSETTS AVE SE BLDG 13, WASHINGTON, DC 20003-2542
(202) 682-6579
Mailing address
108 CHARTSEY ST, UPPER MARLBORO, MD 20774-1806
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CACII1149
DC
Other
Enumeration date
06/08/2023
Last updated
06/08/2023
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