Individual
JACQUEZ PATTERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
402 YAUGER WAY SW, OLYMPIA, WA 98502-8660
(360) 878-8248
Mailing address
4941 GREENWOOD DR SW UNIT 101, OLYMPIA, WA 98502-2584
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CG70013244
WA
Other
Enumeration date
06/23/2025
Last updated
06/17/2026
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