Provider Demographics
NPI:1194449603
Name:PATTEN, CHAD CHRISTOPHER (LCMHC)
Entity type:Individual
Prefix:MR
First Name:CHAD
Middle Name:CHRISTOPHER
Last Name:PATTEN
Suffix:
Gender:M
Credentials:LCMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3957 VT ROUTE 105
Mailing Address - Street 2:
Mailing Address - City:DERBY
Mailing Address - State:VT
Mailing Address - Zip Code:05829-9577
Mailing Address - Country:US
Mailing Address - Phone:802-673-2881
Mailing Address - Fax:
Practice Address - Street 1:3957 VT ROUTE 105
Practice Address - Street 2:
Practice Address - City:DERBY
Practice Address - State:VT
Practice Address - Zip Code:05829-9577
Practice Address - Country:US
Practice Address - Phone:802-673-2881
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-28
Last Update Date:2022-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT068.0134848101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health