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Individual

MIKE PATTERSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPC

Contact information

Practice address
2707 BROWNS LN, JONESBORO, AR 72401-7213
(870) 972-4939
Mailing address
2707 BROWNS LN, JONESBORO, AR 72401-7213
(870) 972-4939

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
P0009027
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5U934
BCBS
AR
Enumeration date
08/31/2006
Last updated
08/19/2013
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