Provider Demographics
NPI:1902314222
Name:CLEAR PATH COUNSELING
Entity Type:Organization
Organization Name:CLEAR PATH COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LCSW
Authorized Official - Prefix:
Authorized Official - First Name:ESTHER
Authorized Official - Middle Name:
Authorized Official - Last Name:DUBIQUE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-971-3715
Mailing Address - Street 1:5286 WALLER CT
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23464-5452
Mailing Address - Country:US
Mailing Address - Phone:757-971-3715
Mailing Address - Fax:
Practice Address - Street 1:5286 WALLER CT
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23464-5452
Practice Address - Country:US
Practice Address - Phone:757-971-3715
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-22
Last Update Date:2023-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1356638738Medicaid
VA1902314222Medicaid