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Organization

LIFECARE COUNSELING & WELLNESS, LLC

Active
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Organization

LIFECARE COUNSELING & WELLNESS, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RHONDA KELLOWAY LCSW (MEMBER)
(630) 569-0822
Entity
Organization

Contact information

Practice address
45 S PARK BLVD, STE 200, GLEN ELLYN, IL 60137-6280
(630) 984-4896
Mailing address
45 S PARK BLVD, STE 200, GLEN ELLYN, IL 60137-6280
(630) 984-4896

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
29530
IL
101YM0800X
Mental Health Counselor
Primary
180006762
IL
101YP2500X
Professional Counselor
178007569
IL
1041C0700X
Clinical Social Worker
149011371
IL
183500000X
Pharmacist
0510347910
IL
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
051034790
IL

Other

Enumeration date
07/22/2013
Last updated
08/13/2013
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