Individual provider · Type 1 NPI

Courtney Dayne Patrick

Student in an Organized Health Care Education/Training Program · San Jacinto, CA

NPI number 1700366937 Active

Practice location

2220 Girard St
San Jacinto, CA 92583-5301

Call (951) 925-8450 Map

Mailing address

1035 W Ramsey St Ste A
Banning, CA 92220-4400

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1700366937

Courtney Dayne Patrick's National Provider Identifier is 1700366937, issued on Aug 16, 2018. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in San Jacinto, CA. The record was last updated on Nov 26, 2024.