Organization
CLEAR PATH INTEGRATED CLINIC
Active
Other names
Clear Path Integrated Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MICHEL GAHAKANYI (MR)
(480) 466-3852
Entity
Organization
Contact information
Practice address
5060 N 19TH AVE STE 206, PHOENIX, AZ 85015-3212
(480) 466-3852
Mailing address
5060 N 19TH AVE STE 206, PHOENIX, AZ 85015-3212
(480) 466-3852
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
05/18/2023
Last updated
05/18/2023
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