Organization · Type 2 NPI
Pathway Provider Services PC
Mental Health Counselor · Oak Park, IL
NPI number
1366575623
Active
Practice location
810 Harrison St
Oak Park, IL 60304
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1366575623
Pathway Provider Services PC's National Provider Identifier is 1366575623, issued on Mar 14, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Oak Park, IL. The record was last updated on Aug 22, 2020.