Individual
BRIANA H REARDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9119 S EXCHANGE AVE, CHICAGO, IL 60617-4225
(773) 768-5000
Mailing address
2009 N LEAVITT ST APT 2W, CHICAGO, IL 60647-4432
(248) 494-0412
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
178011614
IL
101YM0800X
Mental Health Counselor
178011614
IL
101YP2500X
Professional Counselor
Primary
180.012037
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
178011614
—
IL
Enumeration date
01/19/2017
Last updated
01/23/2025
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