Individual
MCKENNA R PATTERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5630 BRIDGETOWN RD STE 4, CINCINNATI, OH 45248-4346
(513) 939-0300
Mailing address
1787 GLOUCESTER DR, FAIRFIELD, OH 45014-3709
(513) 628-8954
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C.2406314-TRNE
OH
390200000X
Student in an Organized Health Care Education/Training Program
C.2406314-TRNE
OH
Other
Enumeration date
12/11/2024
Last updated
01/27/2025
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