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Organization

PATHWAY RECOVERY SOLUTIONS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JESSE L PRICE LCSW (CLINICAL DIRECTOR)
(539) 234-9787
Entity
Organization

Contact information

Practice address
107 W 2ND ST # 109, TAHLEQUAH, OK 74464-4723
(539) 476-9090
(539) 238-1741
Mailing address
25679 E 795 RD, WELLING, OK 74471-2346
(539) 476-9090
(539) 238-1741

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
1041C0700X
Clinical Social Worker
174400000X
Specialist
175T00000X
Peer Specialist
Primary
251B00000X
Case Management Agency

Other

Enumeration date
10/21/2025
Last updated
11/02/2025
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