Provider Demographics
NPI:1528420254
Name:JACQUELINE RHEW, LCPC, LTD
Entity type:Organization
Organization Name:JACQUELINE RHEW, LCPC, LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JACQUELINE
Authorized Official - Middle Name:
Authorized Official - Last Name:RHEW
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC
Authorized Official - Phone:847-668-2842
Mailing Address - Street 1:3413 N KENNICOTT AVE
Mailing Address - Street 2:SUITE A
Mailing Address - City:ARLINGTON HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60004-7815
Mailing Address - Country:US
Mailing Address - Phone:847-668-2842
Mailing Address - Fax:847-670-9611
Practice Address - Street 1:3413 N KENNICOTT AVE
Practice Address - Street 2:SUITE A
Practice Address - City:ARLINGTON HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60004-7815
Practice Address - Country:US
Practice Address - Phone:847-668-2842
Practice Address - Fax:847-670-9611
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-22
Last Update Date:2016-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty