| Nicole Patterson, | |
|
2100 Huntington Dr N Ste B, Algonquin, IL 60102-5940 | |
| (777) 779-7335 | |
| Not Available |
| Full Name | Nicole Patterson |
|---|---|
| Gender | Female |
| Speciality | Marriage & Family Therapist |
| Location | 2100 Huntington Dr N Ste B, Algonquin, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265203350 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 166.001696 (Illinois) | Primary |
| Entity Name | The Juniper Center Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902906324 PECOS PAC ID: 1557557725 Enrollment ID: O20101130000757 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole Patterson, Po Box 276, Sycamore, IL 60178-0276 Ph: (779) 777-7335 | Nicole Patterson, 2100 Huntington Dr N Ste B, Algonquin, IL 60102-5940 Ph: (777) 779-7335 |
Tara Marie Michalowski, M.A. Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 530 Tenby Way, Algonquin, IL 60102 Phone: 760-405-6764 | |
Shelby Dionne Smith, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2220 Huntington Dr N, Algonquin, IL 60102 Phone: 630-229-2070 | |
Deborah Koons-beauchamp, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 302 S Main St, Algonquin, IL 60102 Phone: 319-431-0087 |