| Pathfinder Counseling Llc | |
|
7280 Nw 87th Ter Ste C-210 Kansas City MO 64153-3720 | |
| (816) 704-7040 | |
| Not Available |
| Full Name | Pathfinder Counseling Llc |
|---|---|
| Speciality | Social Worker |
| Location | 7280 Nw 87th Ter Ste C-210, Kansas City, Missouri |
| Authorized Official Name and Position | Susan Julia Wurtenberger (OWNER) |
| Authorized Official Contact | 8167047040 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pathfinder Counseling Llc 20335 Anderson Rd Weston MO 64098-9251 Ph: (816) 216-4330 | Pathfinder Counseling Llc 7280 Nw 87th Ter Ste C-210 Kansas City MO 64153-3720 Ph: (816) 704-7040 |
| NPI Number | 1164173860 |
|---|---|
| Provider Enumeration Date | 01/13/2022 |
| Last Update Date | 01/13/2022 |
| Certification Date | 01/13/2022 |
| Medicare PECOS PAC ID | 3779975883 |
|---|---|
| Medicare Enrollment ID | O20220124001090 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164173860 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Susan Julia Wurtenberger |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720670508 PECOS PAC ID: 7416357066 Enrollment ID: I20210618000255 |
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