Provider Demographics
NPI:1497151617
Name:GUENTHER, SUSAN BACHARZ (LCPC)
Entity Type:Individual
Prefix:MS
First Name:SUSAN
Middle Name:BACHARZ
Last Name:GUENTHER
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 1:420 LINDEN AVE
Mailing Address - Street 2:APT. 204
Mailing Address - City:WILMETTE
Mailing Address - State:IL
Mailing Address - Zip Code:60091-3608
Mailing Address - Country:US
Mailing Address - Phone:224-628-4514
Mailing Address - Fax:
Practice Address - Street 1:2530 CRAWFORD AVE STE 312
Practice Address - Street 2:SUITE 312
Practice Address - City:EVANSTON
Practice Address - State:IL
Practice Address - Zip Code:60201-4972
Practice Address - Country:US
Practice Address - Phone:847-595-0603
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-11-16
Last Update Date:2015-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180.008600101Y00000X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional