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NPI Code Detail

MEDICARE: PATHWAYS COUNSELING CENTER INC.

MEDICARE: PATHWAYS COUNSELING CENTER INC.
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
1101YM0800XMental Health Counselor111140104NJ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1366509739
Entity Type Code : Organization
Provider Name (Legal Business Name) : PATHWAYS COUNSELING CENTER INC.
Provider Business Mailing Address
First Line : 16 POMPTON AVE
Second Line :
City : POMPTON LAKES
State : NJ
Zip : 07442-1895
Country : US
Telephone Number : 973-835-6337
Fax Number : 973-616-4688
Provider Business Practice Location Address
First Line : 16 POMPTON AVE
Second Line :
City : POMPTON LAKES
State : NJ
Zip : 07442-1895
Country : US
Telephone Number : 973-835-6337
Fax Number : 973-616-4688
Authorized Official
Title or Position : BOARD VICE CHAIRMAN
Name : MR. ARTHUR MCEWEN
Credential :
Telephone Number : 973-835-6337
Provider Enumeration Date : 01/03/2007
Last Update Date : 10/07/2009

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