Organization
PATHWAYS FAMILY THERAPY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHILPA B JOBALIA M.S. (PRESIDENT)
(630) 415-2088
Entity
Organization
Contact information
Practice address
121 S WILKE RD, SUITE 234, ARLINGTON HEIGHTS, IL 60005-1533
(630) 415-2088
Mailing address
1431 HUNTER CIR, NAPERVILLE, IL 60540-8383
(630) 415-2088
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
180007406
IL
1041C0700X
Clinical Social Worker
149009842
IL
106H00000X
Marriage & Family Therapist
Primary
166000558
IL
106H00000X
Marriage & Family Therapist
166000560
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001633169
BCBS PROVIDER NUMBER
IL
Enumeration date
02/05/2007
Last updated
10/08/2010
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