Provider Demographics
NPI:1518119809
Name:GOSSETT, PATRICIA E (LPC)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:E
Last Name:GOSSETT
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6006 BALDCYPRESS CT
Mailing Address - Street 2:
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75043-6339
Mailing Address - Country:US
Mailing Address - Phone:214-909-0829
Mailing Address - Fax:
Practice Address - Street 1:500 TURTLE CV
Practice Address - Street 2:SUITE 220
Practice Address - City:ROCKWALL
Practice Address - State:TX
Practice Address - Zip Code:75087-5384
Practice Address - Country:US
Practice Address - Phone:214-909-0829
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-17
Last Update Date:2010-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX62382101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional