MR. FREDDY REYES


Address: 931 W Leland Ave Apt 405, Chicago, IL 60640-6611
Phone: 3014480988

MR. FREDDY REYES (NPI# 1881291920) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1881291920
Entity Type Individual
Full Name MR. FREDDY REYES
Credential LCPC
Practice Address 931 W Leland Ave Apt 405
Chicago
IL 60640-6611
Practice Telephone 3014480988
Mailing Telephone 3014480988
Enumeration Date 2020-10-01
Last Update Date 2020-10-01
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
180013052 IL Behavioral Health & Social Service Providers

Office Location

Street Address 931 W LELAND AVE APT 405
City CHICAGO
State IL
Zip Code 60640-6611

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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

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Competitor

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City CHICAGO
Zip Code 60640

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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