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Organization
PATH FORWARD COUNSELING LICENSED CLINICAL SOCIAL WORKER SERVICES, INC
Active
Organization
PATH FORWARD COUNSELING LICENSED CLINICAL SOCIAL WORKER SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FRANK COSTELLO III LCSW (OWNER)
(818) 642-6244
Entity
Organization
Contact information
Practice address
17075 DEVONSHIRE ST STE 204, NORTHRIDGE, CA 91325-5408
(818) 642-6244
(818) 368-8940
Mailing address
11218 LA MAIDA ST APT 102, NORTH HOLLYWOOD, CA 91601-4594
(818) 642-6244
(818) 368-8940
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
103T00000X
Psychologist
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
07/04/2021
Last updated
07/04/2021
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