Individual
MR. GREGOIRE MCCLAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA LCPC CAS
Contact information
Practice address
PATHWAYS INC 2670 CRAIN HWY, SUITE 409, WALDORF, MD 20601
(301) 373-3065
(240) 309-4131
Mailing address
PATHWASY INC 2670 CRAIN HWY, SUITE 409, WALDORF, MD 20601
(301) 373-3065
(240) 309-4131
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CAS2698
MN
101YM0800X
Mental Health Counselor
LC1935
MD
101YP2500X
Professional Counselor
Primary
LC1935
MD
Other
Enumeration date
08/10/2017
Last updated
08/10/2017
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