Individual
EMILIA FERNANDEZ PATTERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2204 PACIFIC AVE N, LONG BEACH, WA 98631-3300
(360) 642-3787
Mailing address
42280 LOIS LOOP UNIT 38, ASTORIA, OR 97103-8601
(503) 440-9076
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
60457860
WA
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP60619210
WA
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
12/26/2017
Last updated
07/31/2020
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