Provider / Organization | NPI | Date Certified |
---|---|---|
CHRISTINE REESE | 1275057705 | 2021-11-21 |
Christine Reese is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1275057705. Registration indicates Christine Reese is a provider of access to mental health/behavioral health providers services with a specialization in Behavioral Health & Social Service Providers, Psychologist (Behavioral Health & Social Service Providers, Psychologist) (Psychologist: Clinical, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Psychologist Clinical, Behavioral Health & Social Service Providers) (Psychologist, ) Access to Substance Use Disorder Providers (Behavioral Health & Social Service Providers, Counselor) (Behavioral Health & Social Service Providers, Counselor) (Counselor: Addiction (Substance Use Disorder),, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Counselor Addiction Substance Use Disorder, Behavioral Health & Social Service Providers) (Counselor, ) Access to Mental Health/Behavioral Health Providers (Behavioral Health & Social Service Providers, Counselor) (Behavioral Health & Social Service Providers, Counselor) (Counselor: Mental Health, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Counselor Mental Health, Behavioral Health & Social Service Providers) (Counselor, ) Access to Mental Health/Behavioral Health Providers (Behavioral Health & Social Service Providers, Counselor) (Behavioral Health & Social Service Providers, Counselor) (Counselor: Pastoral, ) (Counselor Pastoral, Behavioral Health & Social Service Providers) (Counselor, ) Access to Mental Health/Behavioral Health Providers (Behavioral Health & Social Service Providers, Psychologist) (Behavioral Health & Social Service Providers, Psychologist) (Psychologist, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Psychologist, Behavioral Health & Social Service Providers)
Entity Type | Individual |
Provider Name | Dr. Christine Reese PSYD |
Other Provider Name | Dr. Christine Lang Applewhite |
Practice Office Address | 12247 S RACINE AVE CALUMET PARK, IL US |
Practice Office Telephone | 3126870198 |
Mailing Address | 18125 ROY ST UNIT 402 LANSING, IL 604386628 US |
Business Telephone | 2195955964 |
Business Fax | 3128429550 |
Address | City / State | Phone / Fax |
---|---|---|
4455 S Washtenaw Ave | Chicago, IL 606321902 | 3129568946 2256 / 3128429550 |
website [email] | www.sanctuarycounselingllc.net | Health Information Exchange (HIE) |
Code | Practice | License No State |
---|---|---|
103TC0700X PRIMARY | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Psychologist Behavioral Health & Social Service Providers Psychologist Psychologist: Clinical Behavioral Health/Substance Abuse/Psychiatry Psychologist Clinical Behavioral Health & Social Service Providers Psychologist | 20041757A
IN |
101YA0400X | Access to Substance Use Disorder Providers Behavioral Health & Social Service Providers Counselor Behavioral Health & Social Service Providers Counselor Counselor: Addiction (Substance Use Disorder), Behavioral Health/Substance Abuse/Psychiatry Counselor Addiction Substance Use Disorder Behavioral Health & Social Service Providers Counselor | |
101YM0800X | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Counselor Behavioral Health & Social Service Providers Counselor Counselor: Mental Health Behavioral Health/Substance Abuse/Psychiatry Counselor Mental Health Behavioral Health & Social Service Providers Counselor | |
101YP1600X | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Counselor Behavioral Health & Social Service Providers Counselor Counselor: Pastoral Counselor Pastoral Behavioral Health & Social Service Providers Counselor | |
103T00000X | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Psychologist Behavioral Health & Social Service Providers Psychologist Psychologist Behavioral Health/Substance Abuse/Psychiatry Psychologist Behavioral Health & Social Service Providers | |
193200000X MULT | Group Code |
1912992819 | OTHER | IN | NPI |
300056709 | MEDICAID | IN | |
1366075566 | OTHER | IL | NPI |
200136790 | MEDICAID | IN |