Individual
DR. CHRISTINE REESE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
12247 S RACINE AVE, CALUMET PARK, IL 60643-5401
(312) 687-0198
Mailing address
18125 ROY ST UNIT 402, LANSING, IL 60438-6628
(219) 595-5964
(312) 842-9550
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP1600X
Pastoral Counselor
—
—
103T00000X
Psychologist
—
—
103TC0700X
Clinical Psychologist
Primary
20041757A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1366075566
NPI
IL
01
—
1912992819
NPI
IN
05
—
200136790
—
IN
05
—
300056709
—
IN
Enumeration date
07/26/2017
Last updated
11/21/2021
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