Provider Demographics
NPI:1154129435
Name:PATTERSON, RILEY CLAIR (MA, LCMHCA)
Entity type:Individual
Prefix:
First Name:RILEY
Middle Name:CLAIR
Last Name:PATTERSON
Suffix:
Gender:
Credentials:MA, LCMHCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4301 DEER CREEK DR N
Mailing Address - Street 2:
Mailing Address - City:WILSON
Mailing Address - State:NC
Mailing Address - Zip Code:27896-9015
Mailing Address - Country:US
Mailing Address - Phone:252-285-1775
Mailing Address - Fax:
Practice Address - Street 1:2506 NASH ST N
Practice Address - Street 2:
Practice Address - City:WILSON
Practice Address - State:NC
Practice Address - Zip Code:27896-1393
Practice Address - Country:US
Practice Address - Phone:252-289-1798
Practice Address - Fax:252-275-2950
Is Sole Proprietor?:No
Enumeration Date:2025-03-04
Last Update Date:2025-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA21179101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health