Provider Demographics
NPI:1114325958
Name:PATTERSON, KRISTEN GREGORY (LCMHC)
Entity type:Individual
Prefix:
First Name:KRISTEN
Middle Name:GREGORY
Last Name:PATTERSON
Suffix:
Gender:F
Credentials:LCMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:601 EASTCHESTER DR STE A
Mailing Address - Street 2:
Mailing Address - City:HIGH POINT
Mailing Address - State:NC
Mailing Address - Zip Code:27262-7645
Mailing Address - Country:US
Mailing Address - Phone:336-404-5439
Mailing Address - Fax:
Practice Address - Street 1:601 EASTCHESTER DR STE A
Practice Address - Street 2:
Practice Address - City:HIGH POINT
Practice Address - State:NC
Practice Address - Zip Code:27262-7645
Practice Address - Country:US
Practice Address - Phone:336-404-5439
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-12-10
Last Update Date:2024-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701006006101YP2500X
NC14007101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA004945221Medicaid
VA0701006006OtherLPC LICENSE NUMBER
NC14007OtherLCMHC LICENSE NUMBER