Provider Demographics
NPI:1740962257
Name:PATTERSON, ALEXIS JEWEL (LPC CANDIDATE)
Entity type:Individual
Prefix:
First Name:ALEXIS
Middle Name:JEWEL
Last Name:PATTERSON
Suffix:
Gender:F
Credentials:LPC CANDIDATE
Other - Prefix:MISS
Other - First Name:ALEXIS
Other - Middle Name:JEWEL
Other - Last Name:PATTERSON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LPC CANDIDATE
Mailing Address - Street 1:510 S UNIVERSITY BLVD APT 29
Mailing Address - Street 2:
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73069-5704
Mailing Address - Country:US
Mailing Address - Phone:918-617-0760
Mailing Address - Fax:
Practice Address - Street 1:9212 N KELLEY AVE STE 200
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73131-2419
Practice Address - Country:US
Practice Address - Phone:405-242-5070
Practice Address - Fax:405-242-5071
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-03
Last Update Date:2023-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor