Individual
CHRISTIAN DEAN RAETHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, LPC
Contact information
Practice address
945 W GEORGE ST STE 206, CHICAGO, IL 60657-5876
(773) 360-1687
Mailing address
945 W GEORGE ST STE 206, CHICAGO, IL 60657-5876
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
178.016469
IL
Other
Enumeration date
11/18/2020
Last updated
02/08/2022
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