Provider Demographics
NPI:1407283328
Name:PATTERSON, REBECCA SHEA (LPCC)
Entity Type:Individual
Prefix:MRS
First Name:REBECCA
Middle Name:SHEA
Last Name:PATTERSON
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7825 LEBANON RD
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40422-9623
Mailing Address - Country:US
Mailing Address - Phone:859-516-5252
Mailing Address - Fax:
Practice Address - Street 1:7825 LEBANON RD
Practice Address - Street 2:
Practice Address - City:DANVILLE
Practice Address - State:KY
Practice Address - Zip Code:40422-9623
Practice Address - Country:US
Practice Address - Phone:859-516-5252
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-10-09
Last Update Date:2020-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY12791344101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional