Provider Demographics
NPI:1013533751
Name:PATTEN, KATHLEEN C (MA, LCMHCA, NCC)
Entity Type:Individual
Prefix:
First Name:KATHLEEN
Middle Name:C
Last Name:PATTEN
Suffix:
Gender:F
Credentials:MA, LCMHCA, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 ROSEWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28801-1616
Mailing Address - Country:US
Mailing Address - Phone:828-747-7088
Mailing Address - Fax:
Practice Address - Street 1:191 E CHESTNUT ST
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801-2330
Practice Address - Country:US
Practice Address - Phone:828-747-7088
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-18
Last Update Date:2020-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA14926101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
1137651OtherNATIONAL BOARD OF CERTIFIED COUNSELORS