Provider Demographics
NPI:1861557811
Name:CORRENTE, PATRICIA (LPC, CAC III)
Entity type:Individual
Prefix:
First Name:PATRICIA
Middle Name:
Last Name:CORRENTE
Suffix:
Gender:F
Credentials:LPC, CAC III
Other - Prefix:
Other - First Name:PATRICIA
Other - Middle Name:
Other - Last Name:GUERRERO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1420 COMMANCHERO DR
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80915-3312
Mailing Address - Country:US
Mailing Address - Phone:719-306-1205
Mailing Address - Fax:
Practice Address - Street 1:1638 ELWELL ST BLDG 6236
Practice Address - Street 2:
Practice Address - City:FORT CARSON
Practice Address - State:CO
Practice Address - Zip Code:80913-4356
Practice Address - Country:US
Practice Address - Phone:719-526-8560
Practice Address - Fax:719-526-8758
Is Sole Proprietor?:No
Enumeration Date:2006-12-27
Last Update Date:2014-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO4460101YP2500X
CO6487101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)