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
| Taxonomy | Code | License |
|---|---|---|
| Counselor Primary | 101Y00000X | None 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.