Provider Demographics
NPI:1396153433
Name:PATTERSON, SUZETTE LEIGH (LPC)
Entity type:Individual
Prefix:
First Name:SUZETTE
Middle Name:LEIGH
Last Name:PATTERSON
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:326 WOODHAVEN LN
Mailing Address - Street 2:
Mailing Address - City:BOONE
Mailing Address - State:NC
Mailing Address - Zip Code:28607-9782
Mailing Address - Country:US
Mailing Address - Phone:828-449-8049
Mailing Address - Fax:828-449-8047
Practice Address - Street 1:589 W KING ST
Practice Address - Street 2:
Practice Address - City:BOONE
Practice Address - State:NC
Practice Address - Zip Code:28607-3536
Practice Address - Country:US
Practice Address - Phone:828-964-1379
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-31
Last Update Date:2014-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCNCLPC 6614101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional