A Healing Path Counseling LLC
Social Worker, Clinical in Bangor, PA. Organization (NPI-2).
NPI number1154680452
StatusActive
Last updated in NPPESNov 16, 2012
Details
- NPI
- 1154680452
- Entity type
- Organization (NPI-2)
- Legal business name
- A Healing Path Counseling LLC
- Organization subpart
- No
- Enumeration date
- May 8, 2012
- Last updated
- Nov 16, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | CW014501 | PA | Yes |
| 101YP2500X | Counselor, Professional | PC003341 | PA | |
| 1041C0700X | Social Worker, Clinical | CW016549 | PA | |
| 1041C0700X | Social Worker, Clinical | CW017025 | PA |
Practice location
159 Blue Valley DrBangor, PA 18013-1511
Phone 610-452-9199 · Fax 610-452-9218
Mailing address
159 Blue Valley DrBangor, PA 18013-1511
Phone 610-452-9199 · Fax 610-452-9218
Authorized official
Andrew Mark Rachlin
Business Manager
5703501760
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