Individual
MARY M PATTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
12 UNION STREET, ROCKLAND, ME 04841-2739
(207) 701-4402
(207) 701-4486
Mailing address
78 ATLANTIC PLACE, SOUTH PORTLAND, ME 04106-2316
(207) 842-6556
(207) 842-7773
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CC1685
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104000000
—
ME
05
—
312550099
—
ME
Enumeration date
10/16/2006
Last updated
04/01/2010
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