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Organization
PATHWAYS COUNSELING CENTER INC.
Active
Organization
PATHWAYS COUNSELING CENTER INC.
Active
Parent organization
PATHWAYS COUNSELING CENTER INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
PATHWAYS COUNSELING CENTER INC.
Authorized official
MS. PEG BUCZEK (OFFICE MANAGER)
(973) 835-6337
Entity
Organization
Contact information
Practice address
16 POMPTON AVE, POMPTON LAKES, NJ 07442-1895
(973) 835-6337
(973) 616-4688
Mailing address
16 POMPTON AVE, POMPTON LAKES, NJ 07442-1895
(973) 835-6337
(973) 616-4688
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1114-05-04
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0063681
MEDICARE PTAN 66460
—
05
—
0063681
—
NJ
Enumeration date
01/13/2011
Last updated
01/13/2011
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