Provider Demographics
NPI:1841501277
Name:PATTERSON, ERIN LEAH (LAC)
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:LEAH
Last Name:PATTERSON
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3610 AMERICAN RIVER DR
Mailing Address - Street 2:140
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95864-5922
Mailing Address - Country:US
Mailing Address - Phone:916-574-1000
Mailing Address - Fax:916-574-1001
Practice Address - Street 1:3610 AMERICAN RIVER DR
Practice Address - Street 2:140
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95864-5922
Practice Address - Country:US
Practice Address - Phone:916-574-1000
Practice Address - Fax:916-574-1001
Is Sole Proprietor?:No
Enumeration Date:2010-06-30
Last Update Date:2012-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALPCC 176101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health