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NPI Code Detail

MEDICARE: CLEAR PATH COUNSELING LLC

MEDICARE: CLEAR PATH COUNSELING LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)
2261QM0850XAdult Mental Health Clinic/Center

General Provider Information

NPI Number : 1043867955
Entity Type Code : Organization
Provider Name (Legal Business Name) : CLEAR PATH COUNSELING LLC
Provider Business Mailing Address
First Line : 117 W 22ND ST
Second Line :
City : BAYONNE
State : NJ
Zip : 07002-1605
Country : US
Telephone Number : 201-677-2106
Fax Number :
Provider Business Practice Location Address
First Line : 101 HUDSON ST FL 21
Second Line :
City : JERSEY CITY
State : NJ
Zip : 07302-3929
Country : US
Telephone Number : 201-677-2106
Fax Number : 201-603-6986
Authorized Official
Title or Position : OWNER, THERAPIST
Name : MR. AHMAD H BUTT
Credential : LPC
Telephone Number : 551-655-2503
Provider Enumeration Date : 08/26/2019
Last Update Date : 08/26/2019

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