Organization
A HEALING PATH COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANDREW MARK RACHLIN (BUSINESS MANAGER)
(570) 350-1760
Entity
Organization
Contact information
Practice address
159 BLUE VALLEY DR, BANGOR, PA 18013-1511
(610) 452-9199
(610) 452-9218
Mailing address
159 BLUE VALLEY DR, BANGOR, PA 18013-1511
(610) 452-9199
(610) 452-9218
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
PC003341
PA
1041C0700X
Clinical Social Worker
Primary
CW014501
PA
1041C0700X
Clinical Social Worker
CW016549
PA
1041C0700X
Clinical Social Worker
CW017025
PA
Other
Enumeration date
05/08/2012
Last updated
11/16/2012
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