Provider Demographics
NPI:1366730608
Name:REESE, MARGUERITE (LCPC)
Entity type:Individual
Prefix:
First Name:MARGUERITE
Middle Name:
Last Name:REESE
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:150 S WACKER DR STE 2400
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60606-4211
Mailing Address - Country:US
Mailing Address - Phone:773-270-3076
Mailing Address - Fax:
Practice Address - Street 1:150 S WACKER DR STE 2400
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60606-4211
Practice Address - Country:US
Practice Address - Phone:773-270-3076
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-20
Last Update Date:2018-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN2741101YM0800X
IL180.008120101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health