CHRISTIAN DEAN RAETHER MA, LPC
NPI 1407459969
Counselor - Mental Health in Chicago, IL
Active since November 18, 2020
About Christian Dean Raether Ma, Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CHRISTIAN DEAN RAETHER MA, LPC (NPI 1407459969) is an individual mental health provider in Chicago, Illinois, licensed in Illinois (178.016469) and active in the NPI registry since November 2020.
NPPES Registry Identity
NPI1407459969
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameCHRISTIAN DEAN RAETHERCredential: MA, LPC
Location Address945 W GEORGE ST STE 206Chicago, IL 60657-5876
Mailing Address945 W George St Ste 206Chicago, IL 60657-5876
Phone(773) 360-1687
Sole ProprietorNo
Enumeration DateNovember 18, 2020
Last NPPES UpdateFebruary 8, 20222 updates tracked since enumeration
NPPES CertifiedFebruary 8, 2022
✔ NPI 1407459969 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in IL · 178.016469
945 W GEORGE ST STE 206, Chicago, IL 60657
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1407459969, enumerated as an "individual" on November 18, 2020.
The provider is located at 945 W GEORGE ST STE 206 CHICAGO, IL 60657 and the phone number is (773) 360-1687.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
