Individual
DEBRA REESE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1414 MAIN ST, MELROSE PARK, IL 60160-3902
(708) 681-0073
(708) 681-3958
Mailing address
1414 MAIN ST, MELROSE PARK, IL 60160-3902
(708) 681-0073
(708) 681-3958
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
IL
101YM0800X
Mental Health Counselor
—
IL
251B00000X
Case Management Agency
—
IL
251S00000X
Community/Behavioral Health Agency
—
IL
261Q00000X
Clinic/Center
—
IL
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
IL
261QM0850X
Adult Mental Health Clinic/Center
—
IL
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
IL
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
IL
Other
Enumeration date
03/22/2017
Last updated
03/22/2017
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