Provider Demographics
NPI:1154666501
Name:HATTEN, PATRYCIA D (LPCLAC)
Entity Type:Individual
Prefix:
First Name:PATRYCIA
Middle Name:D
Last Name:HATTEN
Suffix:
Gender:F
Credentials:LPCLAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1575 SIERRA PLAZA ST
Mailing Address - Street 2:
Mailing Address - City:SEVERANCE
Mailing Address - State:CO
Mailing Address - Zip Code:80550-3237
Mailing Address - Country:US
Mailing Address - Phone:970-310-7007
Mailing Address - Fax:970-346-9800
Practice Address - Street 1:1575 SIERRA PLAZA ST
Practice Address - Street 2:
Practice Address - City:SEVERANCE
Practice Address - State:CO
Practice Address - Zip Code:80550-3237
Practice Address - Country:US
Practice Address - Phone:970-310-7007
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-12-11
Last Update Date:2022-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CONLC-13017101Y00000X
COACD0000401101YA0400X
VALPC0701011552101YP2500X
COLPC11488101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)