Individual provider · Type 1 NPI

Russell Jermain Patterson, MA

Counselor · Jonesboro, GA

NPI number 1689375412 Active

Practice location

124 S Main St Ste 218
Jonesboro, GA 30236-3599

Mailing address

4732 Huntsman Bnd
Decatur, GA 30034-2505

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1689375412

Russell Jermain Patterson, MA's National Provider Identifier is 1689375412, issued on Mar 17, 2023. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Jonesboro, GA. The record was last updated on Mar 17, 2023.