Provider Demographics
NPI:1558435826
Name:PATTON, KAMI JONES (MA, LPC, RPT)
Entity type:Individual
Prefix:MS
First Name:KAMI
Middle Name:JONES
Last Name:PATTON
Suffix:
Gender:F
Credentials:MA, LPC, RPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9274 CORPORATE CIR
Mailing Address - Street 2:
Mailing Address - City:MANASSAS
Mailing Address - State:VA
Mailing Address - Zip Code:20110-4153
Mailing Address - Country:US
Mailing Address - Phone:703-828-5526
Mailing Address - Fax:
Practice Address - Street 1:9274 CORPORATE CIR
Practice Address - Street 2:
Practice Address - City:MANASSAS
Practice Address - State:VA
Practice Address - Zip Code:20110-4153
Practice Address - Country:US
Practice Address - Phone:703-828-5526
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-20
Last Update Date:2022-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701003948101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor