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Organization
POSITIVE PATHWAYS AND WELLNESS CENTER
Active
Organization
POSITIVE PATHWAYS AND WELLNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXANDRA BOURSIQUOT (OWNER)
(240) 413-1255
Entity
Organization
Contact information
Practice address
28 JONATHAN ST, HAGERSTOWN, MD 21740-4802
(240) 413-1255
(301) 576-8573
Mailing address
4005 GELDING LN, OLNEY, MD 20832-1735
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
05/28/2024
Last updated
09/01/2026
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