Individual
MRS. ALYSSA B PATTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
2663 FARRAGUT DR, SUITE A, SPRINGFIELD, IL 62704-1462
(217) 793-0684
Mailing address
136 EXMORE DR, SPRINGFIELD, IL 62704-3138
(217) 787-8585
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180.008608
IL
Other
Enumeration date
10/02/2013
Last updated
10/16/2013
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