Organization
A PATH TO CHANGE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE MCLAIN LPC (OWNER)
(860) 876-0881
Entity
Organization
Contact information
Practice address
2 CENTER RD W STE 2, OLD SAYBROOK, CT 06475-4052
(860) 294-4505
Mailing address
15 SUNSET AVE, OLD SAYBROOK, CT 06475-1427
(860) 876-0881
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
002359
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004235918
—
CT
Enumeration date
09/14/2017
Last updated
09/14/2017
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