Provider Demographics
NPI:1043411366
Name:PATTON, EVA (CADCA LL)
Entity type:Individual
Prefix:MS
First Name:EVA
Middle Name:
Last Name:PATTON
Suffix:
Gender:F
Credentials:CADCA LL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2545 SAN PABLO AVE
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94612-1121
Mailing Address - Country:US
Mailing Address - Phone:510-446-7156
Mailing Address - Fax:510-834-9934
Practice Address - Street 1:2545 SAN PABLO
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94612
Practice Address - Country:US
Practice Address - Phone:510-446-7156
Practice Address - Fax:510-894-9934
Is Sole Proprietor?:No
Enumeration Date:2007-05-31
Last Update Date:2020-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)