Doctor Name: | CATHERINE LEA CONWAY |
NPI Number: | 1295879740 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, LCPC |
License Number: | 180-005601 |
Business Practice Address: | 445 W Jackson Ave Suite 201 Naperville, IL - 605405256 |
Business Phone Number: | 6302208682 |
Business Fax Number: | 6307171165 |
Mailing Address: | 445 W Jackson Ave, Suite 201 NAPERVILLE |
State: | IL |
Postal Code: | 605405256 |
Phone Number: | 6302208682 |
Fax Number: | 6307171165 |
NPI Enumeration Date: | 02/17/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 180-005601 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |