Individual provider · Type 1 NPI

Mallory Rae Michele Patterson

Addiction (Substance Use Disorder) Counselor · Albuquerque, NM

NPI number 1679314017 Active

Practice location

6801 Jefferson St NE Ste 301
Albuquerque, NM 87109-7390

Fax (505) 212-1253

Mailing address

4075A Mercury Cir SE
Albuquerque, NM 87116-3020

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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About NPI 1679314017

Mallory Rae Michele Patterson's National Provider Identifier is 1679314017, issued on May 31, 2024. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Albuquerque, NM. The record was last updated on May 31, 2024.