Individual
ANDREW JOHN PATCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, LPC
Contact information
Practice address
700 VILLA ST, SUITE A, RACINE, WI 53403-1144
(262) 619-3264
(262) 619-3263
Mailing address
700 VILLA ST, SUITE A, RACINE, WI 53403-1144
(262) 619-3264
(262) 619-3263
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2898-125
WI
101YP2500X
Professional Counselor
2898-125
WI
Other
Enumeration date
08/18/2006
Last updated
09/11/2025
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