Organization
ALONG THE PATH COUNSELING SERVICES P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JASON ANDREW PECKELS LCPC (PRESIDENT)
(414) 801-7905
Entity
Organization
Contact information
Practice address
433 S PHELPS AVE, SUITE 2, ROCKFORD, IL 61108-2442
(815) 397-4287
(815) 397-3136
Mailing address
433 S PHELPS AVE, SUITE 2, ROCKFORD, IL 61108-2442
(815) 397-4287
(815) 397-3136
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
060010196
IL
Other
Enumeration date
05/09/2009
Last updated
05/09/2009
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