Most Relevant Information
Provider Data
| NPI Number: | 1003349721 |
| Provider Name: | JAMES PATTON SUDCC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: | 11678 |
Most Important Dates
| Enumeration Date: | 04/10/2017 |
| Last Updated: | 10/05/2021 |
Provider Practice Location
7885 ANNANDALE AVE
DESERT HOT SPRINGS
CA
922401419
Practice Location Phone/Fax
| Phone: | 7603292924 |
| Fax: |
Provider Mailing Location
7885 ANNANDALE AVE
DESERT HOT SPRINGS
CA
922401419
Provider Mailing Phone/Fax
| Phone: | 7603292924 |
| Fax: |