CHEYENNE LEE PATTERSON RADT-1 NPI 1174283543

NPI Information

NPI: 1174283543
Provider Name: CHEYENNE LEE PATTERSON, RADT-1
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
5494 PONY EXPRESS TRAIL
CAMINO, CA
ZIP 95709
Phone: (530) 626-7383
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Cheyenne Lee Patterson, RADT-1 is an addiction (substance use disorder) counselor in Camino, CA. Cheyenne Lee Patterson, RADT-1 NPI is 1174283543. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5494 PONY EXPRESS TRAIL
CAMINO, CA
ZIP 95709
Phone: (530) 626-7383

The enumeration date for this NPI number is 12/27/2021 and was last updated on 12/27/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	R1453741221	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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