CAROLYN JORDAN PATTERSON
NPI 1104534866
Counselor - Addiction (Substance Use Disorder) in Americus, GA
Active since November 11, 2022
About Carolyn Jordan Patterson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CAROLYN JORDAN PATTERSON (NPI 1104534866) is an individual addiction (substance use disorder) provider in Americus, Georgia and active in the NPI registry since November 2022.
NPPES Registry Identity
NPI1104534866
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameCAROLYN JORDAN PATTERSON
Location Address908 S MLK BLVDAmericus, GA 31719-2917
Mailing Address908 S Mlk BlvdAmericus, GA 31719-2917 · (229) 931-2798 · Fax (229) 931-2431
Phone(229) 931-2798
Fax(229) 931-2431
Sole ProprietorYes
Enumeration DateNovember 11, 2022
NPPES CertifiedNovember 11, 2022
✔ NPI 1104534866 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
908 S MLK BLVD, Americus, GA 31719
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1104534866, enumerated as an "individual" on November 11, 2022.
The provider is located at 908 S MLK BLVD AMERICUS, GA 31719 and the phone number is (229) 931-2798.
Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).
