Individual
MICHELLE A RHODES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
4460 N ILLINOIS ST STE 1, SWANSEA, IL 62226-1899
(949) 307-6142
Mailing address
4460 N ILLINOIS ST STE 1, SWANSEA, IL 62226-1899
(949) 307-6142
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
149025207
IL
101Y00000X
Counselor
2022012323
MO
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
05/01/2023
Last updated
05/01/2023
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