Provider Demographics
NPI:1154174829
Name:PATTERSON, LAURA MARGARET (MA, LCPC)
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:MARGARET
Last Name:PATTERSON
Suffix:
Gender:F
Credentials:MA, LCPC
Other - Prefix:
Other - First Name:LAURA
Other - Middle Name:MARGARET
Other - Last Name:RING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, LPC
Mailing Address - Street 1:1573 SPRUCEWOOD CT
Mailing Address - Street 2:
Mailing Address - City:MORRIS
Mailing Address - State:IL
Mailing Address - Zip Code:60450-2464
Mailing Address - Country:US
Mailing Address - Phone:815-416-8114
Mailing Address - Fax:
Practice Address - Street 1:1320 UNION ST
Practice Address - Street 2:
Practice Address - City:MORRIS
Practice Address - State:IL
Practice Address - Zip Code:60450-2426
Practice Address - Country:US
Practice Address - Phone:815-941-3141
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-10
Last Update Date:2024-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180.014954101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional