Provider Demographics
NPI:1609522143
Name:PATTERSON, SHEREE NICOLE
Entity Type:Individual
Prefix:MRS
First Name:SHEREE
Middle Name:NICOLE
Last Name:PATTERSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6325 N CENTER DR STE 230
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23502-0013
Mailing Address - Country:US
Mailing Address - Phone:757-987-1800
Mailing Address - Fax:757-210-3868
Practice Address - Street 1:6325 N CENTER DR STE 230
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23502-0013
Practice Address - Country:US
Practice Address - Phone:757-987-1800
Practice Address - Fax:757-210-3868
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-23
Last Update Date:2023-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0704012612101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional