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Organization
FAMILY PATHWAYS COUNSELING
Active
Organization
FAMILY PATHWAYS COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GEORGE E BECKER LCSW (LICENSED CLINICAL SOCIAL WORKER)
(847) 924-7635
Entity
Organization
Contact information
Practice address
380 E NORTHWEST HWY, DES PLAINES, IL 60016-2290
(847) 909-7635
Mailing address
1034 S WOLF RD, DES PLAINES, IL 60016-6146
(847) 924-7635
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149003680
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11404737
CAQH
IL
Enumeration date
05/11/2010
Last updated
08/23/2010
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