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General NPI Number Information
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NPI Number | 1366694994
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Entity Type | Organization
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Legal Business Name | PATHWAYS COUNSELING AND EDUCATIONAL SERVICES
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Dates
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Enumeration Date | 10/14/2008
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Last Update Date | 10/14/2008
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Provider Practice Location Address
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Address Line | 100 WHITE SPRUCE BLVD SUITE L202
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City | ROCHESTER
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State | NY
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Zip | 14623-1507
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Country | US
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Telephone | 585-292-6070
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Fax | 585-292-6012
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Provider Business Mailing Address
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Address Line | 100 WHITE SPRUCE BLVD SUITE L202
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City | ROCHESTER
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State | NY
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Zip | 14623-1507
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Country | US
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Telephone | 585-292-6070
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Fax | 585-292-6012
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Authorized Official
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Title or Position | COUNSELOR
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Name | RICHARD FERGUSON
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Credential | LMHC
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Telephone | 585-292-6070
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 000651-1
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License Number State | NY
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