| Path For Change Counseling, Llc | |
|
88 Park St Suite 2 Montclair NJ 07042-5915 | |
| (973) 830-6994 | |
| Not Available |
| Full Name | Path For Change Counseling, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 88 Park St, Montclair, New Jersey |
| Authorized Official Name and Position | Keira Hauck (SOLE PROPRIETOR) |
| Authorized Official Contact | 9738306994 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Path For Change Counseling, Llc Po Box 457 Montclair NJ 07042-0457 Ph: () - | Path For Change Counseling, Llc 88 Park St Suite 2 Montclair NJ 07042-5915 Ph: (973) 830-6994 |
| NPI Number | 1700321296 |
|---|---|
| Provider Enumeration Date | 12/20/2016 |
| Last Update Date | 12/20/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700321296 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 44SC05287500 (New Jersey) | Primary |
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