Provider Demographics
NPI:1043491442
Name:REED, CHRISITNA M (MA, LCPC)
Entity Type:Individual
Prefix:MRS
First Name:CHRISITNA
Middle Name:M
Last Name:REED
Suffix:
Gender:F
Credentials:MA, LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:33 E COLORADO AVE
Mailing Address - Street 2:
Mailing Address - City:FRANKFORT
Mailing Address - State:IL
Mailing Address - Zip Code:60423-1385
Mailing Address - Country:US
Mailing Address - Phone:708-209-7387
Mailing Address - Fax:866-611-6594
Practice Address - Street 1:33 E COLORADO AVE
Practice Address - Street 2:
Practice Address - City:FRANKFORT
Practice Address - State:IL
Practice Address - Zip Code:60423-1385
Practice Address - Country:US
Practice Address - Phone:708-209-7387
Practice Address - Fax:866-611-6594
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-14
Last Update Date:2020-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180.006681101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional