Individual
RICHARD J PATTERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
366 SW 5TH AVE, SUITE 100, MERIDIAN, ID 83642-8600
(208) 898-9755
(208) 898-2544
Mailing address
366 SW 5TH AVE, SUITE 100, MERIDIAN, ID 83642-8600
(208) 898-9755
(208) 898-2544
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW1015
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
L5945
BLUE CROSS OF ID
ID
Enumeration date
01/04/2007
Last updated
02/09/2024
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