Provider Demographics
NPI:1194966887
Name:FOLEY, RHONDA MARIE (LCSW, CATC)
Entity type:Individual
Prefix:MS
First Name:RHONDA
Middle Name:MARIE
Last Name:FOLEY
Suffix:
Gender:F
Credentials:LCSW, CATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:475-750 RICE CANYON RD.
Mailing Address - Street 2:
Mailing Address - City:SUSANVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:96127
Mailing Address - Country:US
Mailing Address - Phone:530-251-5100
Mailing Address - Fax:530-251-5017
Practice Address - Street 1:475-750 RICE CANYON RD.
Practice Address - Street 2:
Practice Address - City:SUSANVILLE
Practice Address - State:CA
Practice Address - Zip Code:96127
Practice Address - Country:US
Practice Address - Phone:530-251-5100
Practice Address - Fax:530-251-5017
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-10
Last Update Date:2022-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAASW61465101YM0800X
CA020616225400000X
CA786661041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Practitioner