MEDICARE: CATHERINE A CONWAY LCPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	105216	IA
2	101YM0800X	Mental Health Counselor	180.004294	IL

General Provider Information

NPI Number	:	1558599902
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CATHERINE A CONWAY LCPC

Provider Business Mailing Address
First Line	:	1805 N MILL ST STE L
Second Line	:
City	:	NAPERVILLE
State	:	IL
Zip	:	60563-4860
Country	:	US
Telephone Number	:	331-229-3123
Fax Number	:	331-226-0780

Provider Business Practice Location Address
First Line	:	2461 10TH ST STE 6&7
Second Line	:
City	:	CORALVILLE
State	:	IA
Zip	:	52241-1201
Country	:	US
Telephone Number	:	331-229-3123
Fax Number	:	331-226-0780

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/24/2009
Last Update Date	:	07/10/2025

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