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Kevin Bryant Patterson

Counselor, Mental Health in Centralia, WA. Individual provider (NPI-1).

NPI number1164089132
StatusActive
Last updated in NPPESMay 19, 2022

Details

NPI
1164089132
Entity type
Individual (NPI-1)
Name
Kevin Bryant Patterson
Sex
Male
Sole proprietor
No
Enumeration date
May 24, 2019
Last updated
May 19, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YM0800X Counselor, Mental HealthCG60944441WAYes

Practice location

3510 Steelhammer Dr
Centralia, WA 98531-4551

Phone 360-623-8020

Mailing address

3510 Steelhammer Dr
Centralia, WA 98531-4551

Phone 360-623-8020

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