Path for Change Counseling, LLC
NPI #1700321296 in Montclair, New Jersey
Provider Information
- NPI Number
- 1700321296
- Entity Type
- Organization
- Organization Name
- Path for Change Counseling, LLC
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Dec 20, 2016
- Last Updated
- Dec 20, 2016
Practice Location
- Address
- 88 PARK ST
- Address 2
- SUITE 2
- City
- Montclair
- State
- New Jersey
- ZIP Code
- 07042-5915
- Phone
- (973) 830-6994
Authorized Official
- Name
- MS. KEIRA HAUCK, LCSW
- Title
- SOLE PROPRIETOR
- Phone
- (973) 830-6994
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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