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Organization
PATHWAYS LIFE COUNSELING LLC
Active
Organization
PATHWAYS LIFE COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RODGER HICKS MA LMHC (DIRECTOR)
(315) 393-5116
Entity
Organization
Contact information
Practice address
5428 STATE HIGHWAY 37, LOFT SUITE 8, OGDENSBURG, NY 13669-4211
(315) 393-5116
(315) 393-5940
Mailing address
5428 STATE HWY 37, LOFT SUITE 8, OGDENSBURG, NY 13669-4211
(315) 393-5116
(315) 393-5940
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
015732
NY
103T00000X
Psychologist
176644
NY
104100000X
Social Worker
070198-1
NY
1041C0700X
Clinical Social Worker
Primary
003261
NY
1041C0700X
Clinical Social Worker
057519-1
NY
Other
Enumeration date
05/13/2008
Last updated
05/13/2008
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