| Pathways Northwest Counseling Service | |
|
2364 Main St Suite A Philomath OR 97370-9488 | |
| (541) 944-1247 | |
| Not Available |
| Full Name | Pathways Northwest Counseling Service |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 2364 Main St, Philomath, Oregon |
| Authorized Official Name and Position | Manny Cruz (OWNER) |
| Authorized Official Contact | 5419441247 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pathways Northwest Counseling Service 611 Siskiyou Blvd Suite 8 Ashland OR 97520-2151 Ph: (541) 944-1247 | Pathways Northwest Counseling Service 2364 Main St Suite A Philomath OR 97370-9488 Ph: (541) 944-1247 |
| NPI Number | 1952789281 |
|---|---|
| Provider Enumeration Date | 05/06/2015 |
| Last Update Date | 05/06/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952789281 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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