Individual
JERMAINE LEE PATTERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
14 BRIMBLECOM ST, LYNN, MA 01902-4207
(781) 913-2909
Mailing address
14 BRIMBLECOM ST, LYNN, MA 01902-4207
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
MA
101YM0800X
Mental Health Counselor
—
MA
103T00000X
Psychologist
—
MA
104100000X
Social Worker
—
MA
Other
Enumeration date
06/22/2018
Last updated
06/22/2018
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