Provider Demographics
NPI:1245326958
Name:MCALLISTER-LOVE, RHONDA MICHELLE (LCSW, FSICPP)
Entity type:Individual
Prefix:MRS
First Name:RHONDA
Middle Name:MICHELLE
Last Name:MCALLISTER-LOVE
Suffix:
Gender:F
Credentials:LCSW, FSICPP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:P.O. BOX 292734
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95829-2734
Mailing Address - Country:US
Mailing Address - Phone:916-688-8647
Mailing Address - Fax:916-688-8647
Practice Address - Street 1:3650-A AUBURN BLVD.
Practice Address - Street 2:SUITE 200
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95821
Practice Address - Country:US
Practice Address - Phone:916-688-8647
Practice Address - Fax:916-688-8647
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS 136861041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical