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General NPI Number Information
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NPI Number | 1386913671
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Entity Type | Organization
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Legal Business Name | PATHWAYS COUNSELING, LLC
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Dates
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Enumeration Date | 12/15/2011
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Last Update Date | 04/08/2024
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Provider Practice Location Address
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Address Line | 25 CHURCH HILL RD STE 201B
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City | NEWTOWN
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State | CT
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Zip | 06470-1646
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Country | US
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Telephone | 203-917-8585
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Fax | 203-826-2211
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Provider Business Mailing Address
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Address Line | 401A HERITAGE VLG
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City | SOUTHBURY
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State | CT
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Zip | 06488-5708
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Country | US
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Telephone | 203-917-8585
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Fax | 203-826-2211
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Authorized Official
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Title or Position | SOLE PROPRIETOR
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Name | SUSAN A. BORITZ
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Credential | M.A.
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Telephone | 203-917-8585
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 001240
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License Number State | CT
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