Organization
SANCTUARY COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTINE LANG REESE (CLINICAL PSYCHOLOGIST)
(312) 687-0198
Entity
Organization
Contact information
Practice address
12247 S RACINE AVE, CALUMET PARK, IL 60643
(312) 687-0198
Mailing address
12247 S RACINE AVE, CALUMET PARK, IL 60643-5401
(312) 687-0198
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
251E00000X
Home Health Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
Other
Enumeration date
02/16/2020
Last updated
02/16/2020
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