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Organization
BRIGHTER PATH COUNSELING SERVICES, INC.
Active
Organization
BRIGHTER PATH COUNSELING SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAVIER MARTIN PANAMENO CAMPOS LCSW (CHIEF EXECUTIVE OFFICER)
(909) 782-8382
Entity
Organization
Contact information
Practice address
7828 HAVEN AVE STE 102, RANCHO CUCAMONGA, CA 91730-3049
(909) 782-8382
(909) 365-3576
Mailing address
PO BOX 1176, FONTANA, CA 92334-1176
(909) 782-8382
(909) 365-3576
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
CA
1041C0700X
Clinical Social Worker
26127
CA
Other
Enumeration date
10/10/2017
Last updated
10/10/2017
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