Provider Demographics
NPI:1497848873
Name:PATTEE, JAMES GUY CARL (MA)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:GUY CARL
Last Name:PATTEE
Suffix:
Gender:M
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10103 N DIVISION ST STE 109
Mailing Address - Street 2:WHITWORTH PROFESSIONAL CENTER
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99218-2346
Mailing Address - Country:US
Mailing Address - Phone:509-467-1156
Mailing Address - Fax:509-468-0462
Practice Address - Street 1:10103 N DIVISION ST STE 109
Practice Address - Street 2:WHITWORTH PROFESSIONAL CENTER
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99218-2346
Practice Address - Country:US
Practice Address - Phone:509-467-1156
Practice Address - Fax:509-468-0462
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-30
Last Update Date:2008-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH00004438101YM0800X
WALF00001138106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist