Provider Demographics
NPI:1952545295
Name:REETZ, CYNTHIA L (MA, LCPC)
Entity Type:Individual
Prefix:MRS
First Name:CYNTHIA
Middle Name:L
Last Name:REETZ
Suffix:
Gender:F
Credentials:MA, LCPC
Other - Prefix:
Other - First Name:CYNTHIA
Other - Middle Name:L
Other - Last Name:BAILEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, LPC
Mailing Address - Street 1:2150 MANCHESTER RD STE 110
Mailing Address - Street 2:
Mailing Address - City:WHEATON
Mailing Address - State:IL
Mailing Address - Zip Code:60187-2474
Mailing Address - Country:US
Mailing Address - Phone:630-752-9874
Mailing Address - Fax:
Practice Address - Street 1:2150 MANCHESTER RD STE 110
Practice Address - Street 2:
Practice Address - City:WHEATON
Practice Address - State:IL
Practice Address - Zip Code:60187
Practice Address - Country:US
Practice Address - Phone:630-752-9874
Practice Address - Fax:630-752-9875
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-30
Last Update Date:2018-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180.008594101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional