Provider Demographics
NPI:1760698708
Name:FERREIRO, PATRICIA LANE (LPC)
Entity Type:Individual
Prefix:MS
First Name:PATRICIA
Middle Name:LANE
Last Name:FERREIRO
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:PO BOX 81
Mailing Address - Street 2:
Mailing Address - City:BROWNWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:76804-0081
Mailing Address - Country:US
Mailing Address - Phone:325-998-6567
Mailing Address - Fax:325-784-7845
Practice Address - Street 1:2027 DEEPWATER ESTATE RD.
Practice Address - Street 2:
Practice Address - City:BROWNWOOD
Practice Address - State:TX
Practice Address - Zip Code:76801
Practice Address - Country:US
Practice Address - Phone:325-998-6567
Practice Address - Fax:325-784-7845
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX18209101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health