Provider Demographics
NPI:1134304272
Name:PATRONIS, JOANNA MARY
Entity Type:Individual
Prefix:
First Name:JOANNA
Middle Name:MARY
Last Name:PATRONIS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:608 WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:CRAMERTON
Mailing Address - State:NC
Mailing Address - Zip Code:28032-1221
Mailing Address - Country:US
Mailing Address - Phone:704-923-6783
Mailing Address - Fax:704-631-4765
Practice Address - Street 1:608 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:CRAMERTON
Practice Address - State:NC
Practice Address - Zip Code:28032-1221
Practice Address - Country:US
Practice Address - Phone:704-923-6783
Practice Address - Fax:704-631-4765
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-08
Last Update Date:2008-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral