Provider Demographics
NPI:1316081078
Name:PATTERSON, L BRIAN (LPCC)
Entity type:Individual
Prefix:
First Name:L
Middle Name:BRIAN
Last Name:PATTERSON
Suffix:
Gender:M
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6402 E MAIN ST STE 103
Mailing Address - Street 2:
Mailing Address - City:REYNOLDSBURG
Mailing Address - State:OH
Mailing Address - Zip Code:43068-2356
Mailing Address - Country:US
Mailing Address - Phone:614-559-2800
Mailing Address - Fax:614-559-2801
Practice Address - Street 1:6402 E MAIN ST STE 103
Practice Address - Street 2:
Practice Address - City:REYNOLDSBURG
Practice Address - State:OH
Practice Address - Zip Code:43068-2356
Practice Address - Country:US
Practice Address - Phone:614-559-2800
Practice Address - Fax:614-559-2801
Is Sole Proprietor?:No
Enumeration Date:2007-02-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH021275101YA0400X
OHE-7884101YM0800X
OHE7884101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional