Provider Demographics
NPI:1609102128
Name:GREER, PATTI C (LPCC)
Entity Type:Individual
Prefix:MS
First Name:PATTI
Middle Name:C
Last Name:GREER
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 1:25 TUMBLEWEED TRL
Mailing Address - Street 2:
Mailing Address - City:LA LUZ
Mailing Address - State:NM
Mailing Address - Zip Code:88337-9380
Mailing Address - Country:US
Mailing Address - Phone:575-434-3658
Mailing Address - Fax:
Practice Address - Street 1:501 24TH ST
Practice Address - Street 2:
Practice Address - City:ALAMOGORDO
Practice Address - State:NM
Practice Address - Zip Code:88310-6103
Practice Address - Country:US
Practice Address - Phone:575-434-3011
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-19
Last Update Date:2009-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMT0123401101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional