person
Alice Faye Portis-patterson, MSW
Mental Health Counselor in Racine, Wisconsin
NPI 1568515922

Alice Faye Portis-patterson is a Mental Health Counselor based in Racine, WI and is specialized in Mental Health. Alice Faye Portis-patterson practices in Racine, WI and has the professional credentials of MSW. The NPI Number for Alice Faye Portis-patterson is 1568515922 and holds a License No. 947-125 (Wisconsin).

The current practice location address for Alice Faye Portis-patterson is 6939 Mariner Dr, Racine, WI and can be reached out via phone at 262-886-8702 and via fax at 262-886-8713. You can also correspond with Alice Faye Portis-patterson through the mailing address at 3416 DAISY LN, RACINE, WI - 53405-4606 (mailing address contact number: 262-554-8743).

Location: 6939 Mariner Dr, Racine, WI, 53405-4606
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Provider Profile Details
NPI Number
1568515922
Provider Name
Alice Faye Portis-patterson
Credential
MSW
Provider Entity Type
Individual
Gender
Female
Address
6939 Mariner Dr, Racine, WI, 53405-4606
Phone Number
262-886-8702
Fax Number
262-886-8713
Provider Enumeration Date
01/19/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
222157 01 WI VALUE OPTION
39228200 05 WI
institution
Provider Business Practice Location Address Details
Address
6939 Mariner Dr
City
State
Zip
53406-3938
Phone Number
262-886-8702
Fax Number
262-886-8713
person
Provider Business Mailing Address Details
Address
3416 Daisy Ln
City
State
Zip
53405-4606
Phone Number
262-554-8743
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
947-125 (Wisconsin)
Definition
Definition to come...
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