Patrick, Cleo

Patrick, Cleo is an sole proprietor health care provider with primary practice located at 366 Gunfighter Ave # 366Mdg , Mountain Home Afb ID 83648-5258. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Patrick, Cleo can be contacted via phone (208) 828-7655.

Contact Information

Primary practice address
366 Gunfighter Ave # 366Mdg Mountain Home Afb ID 83648-5258
Phone: (208) 828-7655
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X LCSW-34797 Idaho
Behavioral Health & Social Service Providers / Clinical 1041C0700X 61261680 Washington

Profile Details

NPI number 1275888943
LBN Legal business name Patrick, Cleo
Credentials PHD, LCSW, LICSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 19th, 2012
Last updated Jul 10th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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