| Pathways Counseling Center Inc. | |
|
16 Pompton Ave Pompton Lakes NJ 07442-1895 | |
| (973) 835-6337 | |
| (973) 616-4688 |
| Full Name | Pathways Counseling Center Inc. |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 16 Pompton Ave, Pompton Lakes, New Jersey |
| Authorized Official Name and Position | Peg Buczek (OFFICE MANAGER) |
| Authorized Official Contact | 9738356337 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pathways Counseling Center Inc. 16 Pompton Ave Pompton Lakes NJ 07442-1895 Ph: (973) 835-6337 | Pathways Counseling Center Inc. 16 Pompton Ave Pompton Lakes NJ 07442-1895 Ph: (973) 835-6337 |
| NPI Number | 1497050009 |
|---|---|
| Provider Enumeration Date | 01/13/2011 |
| Last Update Date | 01/13/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497050009 | NPI | - | NPPES |
| 0063681 | Other | MEDICARE PTAN 66460 | |
| 0063681 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 1114-05-04 (New Jersey) | Primary |
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