| Organization Name: | PATHWAYS COUNSELING CENTER |
| NPI Number: | 1134439276 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KARA LYNNE JENSEN (CO-OWNER) |
| Mailing Address: | 1283 Deer Valley Dr Park City |
| State: | UT US |
| Postal Code: | 840605104 |
| Phone Number: | 4352503510 |
| Fax Number: | |
| NPI Enumeration Date: | 10/07/2010 |
| NPI Last Update Date: | 10/07/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 6158205-6004 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | UT |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |