Provider Demographics
NPI:1023288651
Name:PATTERSON, NANETTE FLOYD (LPC)
Entity type:Individual
Prefix:
First Name:NANETTE
Middle Name:FLOYD
Last Name:PATTERSON
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 1:4917 PROFESSIONAL CT
Mailing Address - Street 2:SUITE 200
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27609-4970
Mailing Address - Country:US
Mailing Address - Phone:877-316-3082
Mailing Address - Fax:
Practice Address - Street 1:4917 PROFESSIONAL CT
Practice Address - Street 2:SUITE 200
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27609-4970
Practice Address - Country:US
Practice Address - Phone:877-316-3082
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-03-11
Last Update Date:2015-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC6931101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6931Medicaid