Provider Demographics
NPI:1770940439
Name:DUNK, TORREY (LCPC)
Entity type:Individual
Prefix:
First Name:TORREY
Middle Name:
Last Name:DUNK
Suffix:
Gender:M
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5804 GREENVIEW RD
Mailing Address - Street 2:
Mailing Address - City:OAKWOOD HILLS
Mailing Address - State:IL
Mailing Address - Zip Code:60013-1047
Mailing Address - Country:US
Mailing Address - Phone:630-697-9695
Mailing Address - Fax:
Practice Address - Street 1:5804 GREENVIEW RD
Practice Address - Street 2:
Practice Address - City:OAKWOOD HILLS
Practice Address - State:IL
Practice Address - Zip Code:60013-1047
Practice Address - Country:US
Practice Address - Phone:630-697-9695
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-01-26
Last Update Date:2016-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180010098101YP2500X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health