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Organization

PATHWAYS HUMAN SERVICES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. RICHARD SCOTT WALLACE LCSW (STATE DIRECTOR)
(512) 343-8606
Entity
Organization

Contact information

Practice address
610 GOLD AVE SW, SUITE 236, ALBUQUERQUE, NM 87102-3146
(505) 998-0422
Mailing address
1524 S IH 35, SUITE 210, AUSTIN, TX 78704-8931
(512) 343-8606

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1044
NM

Other

Enumeration date
12/22/2016
Last updated
12/22/2016
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