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Organization
PATHWAYS TO CHANGE COUNSELING, INC.
Active
Organization
PATHWAYS TO CHANGE COUNSELING, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GWEN AMES LCSW (PRESIDENT)
(630) 229-9940
Entity
Organization
Contact information
Practice address
701 E IRVING PARK RD, SUITE 201, ROSELLE, IL 60172-2322
(630) 229-9940
Mailing address
701 E IRVING PARK RD, SUITE 201, ROSELLE, IL 60172-2353
(630) 229-9940
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
356485406001
—
IL
Enumeration date
12/04/2012
Last updated
04/10/2014
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