| Path Forward Counseling Licensed Clinical Social Worker Services, Inc | |
|
17075 Devonshire St Ste 204 Northridge CA 91325-5408 | |
| (818) 642-6244 | |
| (818) 368-8940 |
| Full Name | Path Forward Counseling Licensed Clinical Social Worker Services, Inc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 17075 Devonshire St Ste 204, Northridge, California |
| Authorized Official Name and Position | Frank Costello (OWNER) |
| Authorized Official Contact | 8186426244 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Path Forward Counseling Licensed Clinical Social Worker Services, Inc 11218 La Maida St Apt 102 North Hollywood CA 91601-4594 Ph: (818) 642-6244 | Path Forward Counseling Licensed Clinical Social Worker Services, Inc 17075 Devonshire St Ste 204 Northridge CA 91325-5408 Ph: (818) 642-6244 |
| NPI Number | 1598336232 |
|---|---|
| Provider Enumeration Date | 07/04/2021 |
| Last Update Date | 07/04/2021 |
| Certification Date | 06/17/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598336232 | NPI | - | NPPES |
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