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Organization

BRIGHTER PATH COUNSELING SERVICES, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JAVIER MARTIN PANAMENO CAMPOS LCSW (CHIEF EXECUTIVE OFFICER)
(909) 782-8382
Entity
Organization

Contact information

Practice address
7828 HAVEN AVE STE 102, RANCHO CUCAMONGA, CA 91730-3049
(909) 782-8382
(909) 365-3576
Mailing address
PO BOX 1176, FONTANA, CA 92334-1176
(909) 782-8382
(909) 365-3576

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CA
1041C0700X
Clinical Social Worker
26127
CA

Other

Enumeration date
10/10/2017
Last updated
10/10/2017
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