Individual
MR. WILLIE T. PATTERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LADC
Contact information
Practice address
340 BROAD ST STE 204, WINDSOR, CT 06095-3030
(860) 778-6951
Mailing address
13 CANTERBURY ST, MANCHESTER, CT 06042-1905
(860) 778-6951
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1398
CT
Other
Enumeration date
03/01/2021
Last updated
03/09/2021
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