Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Grant Michael Patterson, SUDRC

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1649780230

Grant Michael Patterson, SUDRC is a Student in an Organized Health Care Education/Training Program in Escondido, California. Licensed in California. Registered with an NPI since 2017.

Licensed in
CA
In the registry since
2017
Specialties on file
5
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Practice location Address checks out

504 W Mission Ave Ste 106
Escondido, CA 92025-1603
Phone: (619) 281-3706
Fax: (760) 796-4387
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 21935 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X
Mental Health Counselor Taxonomy 101YM0800X
Social Worker Taxonomy 104100000X
Case Manager/Care Coordinator Taxonomy 171M00000X (CA)

Record details

NPI number1649780230
Entity typeIndividual (Type 1)
GenderMale
Credentials SUDRC
Sole proprietorNo
NPI enumeratedOctober 9, 2017
Last updated in NPPESDecember 16, 2025
Certification dateDecember 16, 2025
Mailing address8787 Complex Dr Ste 300, San Diego, CA 92123-1453

Other providers in Escondido