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

Mr. Dewayne Patterson Sr.

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1124661038

Mr. Dewayne Patterson Sr. is an Addiction (Substance Use Disorder) Counselor in Rancho Mirage, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

69730 Highway 111 Ste 109
Rancho Mirage, CA 92270-2873
Phone: (760) 322-1777
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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 6766 (CA)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X

Record details

NPI number1124661038
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedOctober 23, 2019
Last updated in NPPESJuly 10, 2024
Certification dateJuly 10, 2024
Mailing address67740 Quijo Rd, Cathedral City, CA 92234-5541

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