Provider Demographics
NPI:1578737581
Name:PATTON, DEBORAH JEWELL (CADC U/S)
Entity Type:Individual
Prefix:MRS
First Name:DEBORAH
Middle Name:JEWELL
Last Name:PATTON
Suffix:
Gender:F
Credentials:CADC U/S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 742
Mailing Address - Street 2:
Mailing Address - City:SALLISAW
Mailing Address - State:OK
Mailing Address - Zip Code:74955-0742
Mailing Address - Country:US
Mailing Address - Phone:918-775-5224
Mailing Address - Fax:
Practice Address - Street 1:1515 W CHICKASAW AVE
Practice Address - Street 2:
Practice Address - City:SALLISAW
Practice Address - State:OK
Practice Address - Zip Code:74955-7201
Practice Address - Country:US
Practice Address - Phone:918-775-2657
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-04-22
Last Update Date:2008-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)