Individual
DAVID ALAN PATCH JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCPC
Contact information
Practice address
222 SAINT JOHN ST STE 208, PORTLAND, ME 04102-3063
(207) 891-8618
Mailing address
222 SAINT JOHN ST STE 208, PORTLAND, ME 04102-3063
(207) 891-8618
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CC2457
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11646348
CAQH
ME
Enumeration date
06/15/2008
Last updated
03/23/2021
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