| Clear Path Counseling, Pllc | |
|
2172 Blackberry Dr Ste 110 Geneva IL 60134-1103 | |
| (630) 313-0069 | |
| Not Available |
| Full Name | Clear Path Counseling, Pllc |
|---|---|
| Speciality | Counselor |
| Location | 2172 Blackberry Dr Ste 110, Geneva, Illinois |
| Authorized Official Name and Position | Robert Foreman (CREDENTIALING) |
| Authorized Official Contact | 6303130069 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Clear Path Counseling, Pllc 2172 Blackberry Dr Ste 110 Geneva IL 60134-1103 Ph: (630) 313-0069 | Clear Path Counseling, Pllc 2172 Blackberry Dr Ste 110 Geneva IL 60134-1103 Ph: (630) 313-0069 |
| NPI Number | 1568104602 |
|---|---|
| Provider Enumeration Date | 04/09/2022 |
| Last Update Date | 10/24/2022 |
| Certification Date | 10/24/2022 |
| Medicare PECOS PAC ID | 8224400551 |
|---|---|
| Medicare Enrollment ID | O20230214000992 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568104602 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Karen Foreman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578975769 PECOS PAC ID: 6103298435 Enrollment ID: I20230214001131 |
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