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Organization
PATHWAYS THERAPY CENTER
Active
Organization
PATHWAYS THERAPY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SALLY ANNE FITTS LCSW (CLINICAL DIRECTOR/OWNER)
(916) 979-0964
Entity
Organization
Contact information
Practice address
9700 FAIR OAKS BLVD STE G, FAIR OAKS, CA 95628-7079
(916) 979-0964
(916) 962-1940
Mailing address
9700 FAIR OAKS BLVD STE G, FAIR OAKS, CA 95628-7079
(916) 979-0964
(916) 962-1940
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
19276
CA
106H00000X
Marriage & Family Therapist
44220
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1962660811
INDIVIDUAL NPI
CA
Enumeration date
02/24/2009
Last updated
02/24/2009
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