Provider Demographics
NPI:1871232702
Name:GLUNZ, TIA P (LPC)
Entity Type:Individual
Prefix:MS
First Name:TIA
Middle Name:P
Last Name:GLUNZ
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:TIA
Other - Middle Name:P
Other - Last Name:VALENTINE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:118 APPLEBEE ST
Mailing Address - Street 2:
Mailing Address - City:BARRINGTON
Mailing Address - State:IL
Mailing Address - Zip Code:60010-3035
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:118 APPLEBEE ST
Practice Address - Street 2:
Practice Address - City:BARRINGTON
Practice Address - State:IL
Practice Address - Zip Code:60010-3035
Practice Address - Country:US
Practice Address - Phone:847-381-0345
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-31
Last Update Date:2022-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL178015329101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional