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Provider Information for 1013574409


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Ms. PATRICIA MICHELLE CARRINGTON LPC


Sex: Female

NPI: 1013574409
Last Updated: 2019-05-22
Certification Date:

Details

NameValue
NPI1013574409
Enumeration Date2019-05-22
NPI TypeNPI-1 Individual
Sole ProprietorYES
StatusActive
Mailing Address 10105 W COLDSPRING RD APT 106
GREENFIELD, WI 53228-2632
United States

Phone: 414-559-0845 | Fax:
 
Primary Practice Address 1409 E CAPITOL DR STE 202
MILWAUKEE, WI 53211-1959
United States

Phone: 414-963-8711 | Fax:866-545-1113
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 101YP2500X - Counselor - ProfessionalWI7366-125