| Pathways To Change Counseling, Inc. | |
|
701 E Irving Park Rd Suite 201 Roselle IL 60172-2322 | |
| (630) 229-9940 | |
| Not Available |
| Full Name | Pathways To Change Counseling, Inc. |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 701 E Irving Park Rd, Roselle, Illinois |
| Authorized Official Name and Position | Gwen Ames (PRESIDENT) |
| Authorized Official Contact | 6302299940 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pathways To Change Counseling, Inc. 701 E Irving Park Rd Suite 201 Roselle IL 60172-2353 Ph: (630) 229-9940 | Pathways To Change Counseling, Inc. 701 E Irving Park Rd Suite 201 Roselle IL 60172-2322 Ph: (630) 229-9940 |
| NPI Number | 1558606475 |
|---|---|
| Provider Enumeration Date | 12/04/2012 |
| Last Update Date | 04/10/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558606475 | NPI | - | NPPES |
| 356485406001 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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