Provider Demographics
NPI:1700929684
Name:JEAN GREENWALD
Entity Type:Organization
Organization Name:JEAN GREENWALD
Other - Org Name:PATHWAYS COUNSELING CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:FOUNDER
Authorized Official - Prefix:MS
Authorized Official - First Name:JEAN
Authorized Official - Middle Name:
Authorized Official - Last Name:GREENWALD
Authorized Official - Suffix:
Authorized Official - Credentials:MA, EDS
Authorized Official - Phone:973-875-4747
Mailing Address - Street 1:43 UNIONVILLE AVE
Mailing Address - Street 2:
Mailing Address - City:SUSSEX
Mailing Address - State:NJ
Mailing Address - Zip Code:07461-2130
Mailing Address - Country:US
Mailing Address - Phone:973-875-4747
Mailing Address - Fax:973-875-9597
Practice Address - Street 1:43 UNIONVILLE AVE
Practice Address - Street 2:
Practice Address - City:SUSSEX
Practice Address - State:NJ
Practice Address - Zip Code:07461-2130
Practice Address - Country:US
Practice Address - Phone:973-875-4747
Practice Address - Fax:973-875-9597
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37F100120600106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty