Organization
PATHWAYS NORTHWEST COUNSELING SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MANNY CRUZ (OWNER)
(541) 944-1247
Entity
Organization
Contact information
Practice address
2364 MAIN ST, SUITE A, PHILOMATH, OR 97370-9488
(541) 944-1247
Mailing address
611 SISKIYOU BLVD, SUITE 8, ASHLAND, OR 97520-2151
(541) 944-1247
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
05/06/2015
Last updated
05/06/2015
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