Provider Demographics
NPI:1619226289
Name:PATE, BOBBI JEAN (LPC, RPT)
Entity Type:Individual
Prefix:MRS
First Name:BOBBI
Middle Name:JEAN
Last Name:PATE
Suffix:
Gender:F
Credentials:LPC, RPT
Other - Prefix:MRS
Other - First Name:BOBBI
Other - Middle Name:JEAN
Other - Last Name:PATE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LPC, RPT
Mailing Address - Street 1:300 VERONA RD
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28540-9620
Mailing Address - Country:US
Mailing Address - Phone:910-520-0923
Mailing Address - Fax:910-238-4402
Practice Address - Street 1:1401 WEST RD
Practice Address - Street 2:
Practice Address - City:CAMP LEJEUNE
Practice Address - State:NC
Practice Address - Zip Code:28547-2539
Practice Address - Country:US
Practice Address - Phone:910-451-6876
Practice Address - Fax:910-451-1601
Is Sole Proprietor?:No
Enumeration Date:2012-08-29
Last Update Date:2020-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA7900101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health