Provider Demographics
NPI:1316180888
Name:REAVES, RHIANNON C (LCPC)
Entity Type:Individual
Prefix:
First Name:RHIANNON
Middle Name:C
Last Name:REAVES
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 1:700 N SACRAMENTO BLVD
Mailing Address - Street 2:SUITE 220
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60612-1046
Mailing Address - Country:US
Mailing Address - Phone:773-265-1539
Mailing Address - Fax:
Practice Address - Street 1:700 N SACRAMENTO BLVD
Practice Address - Street 2:SUITE 220
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60612-1046
Practice Address - Country:US
Practice Address - Phone:773-265-1539
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-14
Last Update Date:2009-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180.006900101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health