Provider Demographics
NPI:1548807886
Name:PATTERSON, BRET DAVID (LPC)
Entity type:Individual
Prefix:MR
First Name:BRET
Middle Name:DAVID
Last Name:PATTERSON
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:165 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:MS
Mailing Address - Zip Code:39073-8106
Mailing Address - Country:US
Mailing Address - Phone:817-691-2028
Mailing Address - Fax:
Practice Address - Street 1:165 W MAIN ST
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:MS
Practice Address - Zip Code:39073-8106
Practice Address - Country:US
Practice Address - Phone:817-691-2028
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-12-05
Last Update Date:2024-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS3070101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health