Provider Demographics
NPI:1457044828
Name:PATTERSON, RAYNA DAWN (LPC)
Entity Type:Individual
Prefix:
First Name:RAYNA
Middle Name:DAWN
Last Name:PATTERSON
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:RAYNA
Other - Middle Name:DAWN
Other - Last Name:RUTH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:5100 AVERY LN
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75070-4683
Mailing Address - Country:US
Mailing Address - Phone:903-819-0407
Mailing Address - Fax:
Practice Address - Street 1:7300 ELDORADO PKWY STE 225
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75070-3590
Practice Address - Country:US
Practice Address - Phone:973-833-3376
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-31
Last Update Date:2023-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX70728101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional