Doctor Name: | MS. RHONDA K KELLOWAY |
NPI Number: | 1033257332 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | 149011371 |
Business Practice Address: | 2100 Manchester Rd Suite 1070 Wheaton, IL - 601874579 |
Business Phone Number: | 6305690822 |
Business Fax Number: | |
Mailing Address: | 1032 Swift Rd Unit 2f, GLEN ELLYN |
State: | IL |
Postal Code: | 601372403 |
Phone Number: | 6305690822 |
Fax Number: | |
NPI Enumeration Date: | 02/01/2007 |
NPI Last Update Date: | 11/05/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 149011371 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |