| Patterson Compassionate Counseling, Llc | |
|
414 Shoup Ave Suite 111 Idaho Falls ID 83402-3603 | |
| (208) 524-6373 | |
| Not Available |
| Full Name | Patterson Compassionate Counseling, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 414 Shoup Ave, Idaho Falls, Idaho |
| Authorized Official Name and Position | Lavonna D Patterson (OWNER/PRESIDENT) |
| Authorized Official Contact | 2085246373 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Patterson Compassionate Counseling, Llc 414 Shoup Ave Suite 111 Idaho Falls ID 83402-3603 Ph: (208) 524-6373 | Patterson Compassionate Counseling, Llc 414 Shoup Ave Suite 111 Idaho Falls ID 83402-3603 Ph: (208) 524-6373 |
| NPI Number | 1487800470 |
|---|---|
| Provider Enumeration Date | 08/11/2008 |
| Last Update Date | 08/11/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487800470 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | PSY-202117 (Idaho) | Primary |
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