| Pathways...a Counseling And Learning Center, Inc. | |
|
1104 Ashton Ave 114 Salt Lake City UT 84106-4504 | |
| (801) 558-8650 | |
| Not Available |
| Full Name | Pathways...a Counseling And Learning Center, Inc. |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1104 Ashton Ave, Salt Lake City, Utah |
| Authorized Official Name and Position | Michael C Flowers (PRESIDENT) |
| Authorized Official Contact | 8015588650 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pathways...a Counseling And Learning Center, Inc. Po Box 9128 Salt Lake City UT 84109-0128 Ph: (801) 485-2674 | Pathways...a Counseling And Learning Center, Inc. 1104 Ashton Ave 114 Salt Lake City UT 84106-4504 Ph: (801) 558-8650 |
| NPI Number | 1598874133 |
|---|---|
| Provider Enumeration Date | 08/29/2006 |
| Last Update Date | 06/25/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598874133 | NPI | - | NPPES |
| 788002288030 | Medicaid | UT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 117375-3501 (Utah) | Primary |
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