| Pathways Counseling Services, Llc | |
|
6610 Tributary St Suite 310 Baltimore MD 21224-6514 | |
| (443) 438-9532 | |
| (443) 438-9852 |
| Full Name | Pathways Counseling Services, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 6610 Tributary St, Baltimore, Maryland |
| Authorized Official Name and Position | Iris L Jackson (OWNER) |
| Authorized Official Contact | 4434389532 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pathways Counseling Services, Llc 6610 Tributary St Suite 310 Baltimore MD 21224-6514 Ph: (443) 438-9532 | Pathways Counseling Services, Llc 6610 Tributary St Suite 310 Baltimore MD 21224-6514 Ph: (443) 438-9532 |
| NPI Number | 1437697323 |
|---|---|
| Provider Enumeration Date | 02/10/2017 |
| Last Update Date | 02/10/2017 |
| Medicare PECOS PAC ID | 6204176241 |
|---|---|
| Medicare Enrollment ID | O20190328002824 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437697323 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 15995 (Maryland) | Primary |
| Provider Name | Iris L Jackson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225324189 PECOS PAC ID: 7012257058 Enrollment ID: I20190329001097 |
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