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Organization

PATHWAY COUNSELING

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DIANA L THOMAS TTEE PSYD (CLINICAL PSYCHOLOGIST)
(773) 507-4264
Entity
Organization

Contact information

Practice address
8319 CHRISTIANA AVE, SKOKIE, IL 60076-2937
(773) 507-4264
Mailing address
848 DODGE AVE STE 103, EVANSTON, IL 60202-1506
(773) 507-4264

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary

Other

Enumeration date
12/10/2024
Last updated
12/10/2024
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