Rainer, Jackson Patten

Rainer, Jackson Patten is an individual health care provider with primary practice located at 3103 Clairmont Rd Ne Ste B , Brookhaven GA 30329-1043. He recently has only one registered license in Behavioral Health & Social Service Providers / Counseling, which is considered as his primary health care specialty. Rainer, Jackson Patten can be contacted via phone (404) 636-1457.

Contact Information

Primary practice address
3103 Clairmont Rd Ne Ste B Brookhaven GA 30329-1043
Phone: (404) 636-1457
Fax: (404) 636-7449
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counseling 103TC1900X 1142 Georgia

Profile Details

NPI number 1457388019
LBN Legal business name Rainer, Jackson Patten
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2006
Last updated Oct 13th, 2021 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1457388019 NPPES
Georgia Other 202G704720 PTAN

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