Individual
FREDA PATTERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1220 LAGUNA ST, KOKOMO, IN 46902-2330
(765) 454-5340
(765) 454-5347
Mailing address
6216 CROFTON DR, FORT WAYNE, IN 46835-8719
(260) 479-5200
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39001858A
IN
Other
Enumeration date
03/30/2007
Last updated
07/08/2007
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