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Organization
PATHLIGHT NEUROPSYCHIATRIC CENTER
Active
Organization
PATHLIGHT NEUROPSYCHIATRIC CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESS JOSLIN (INSURANCE CREENTIALING SUPERVISOR)
(918) 766-8217
Entity
Organization
Contact information
Practice address
3610 AMERICAN RIVER DR STE 140, SACRAMENTO, CA 95864-5919
(877) 825-8584
Mailing address
PO BOX 560901, DENVER, CO 80256-0901
(877) 825-8584
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
103T00000X
Psychologist
—
—
103TC0700X
Clinical Psychologist
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
103TF0000X
Family Psychologist
—
—
103TP2701X
Group Psychotherapy Psychologist
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
10/08/2024
Last updated
10/08/2024
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