Ronald William Gluff Jr., LPC

Individual provider Active NPI Professional Counselor · Chandler, AZ

NPI 1063767366 · NPPES record last updated Jul 23, 2012

Key facts

NPI
1063767366
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
LPC-13950 (AZ)
Practice address
3115 S Price Rd
Chandler, AZ 85248-3544
Phone
(602) 317-9391
NPI assigned
Jul 23, 2012
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
LPC-13950AZMDProfessional Counselor
178004294ILMDProfessional Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC-13950 AZ Yes
Professional Counselor 101YP2500X 178004294 IL

Addresses

Primary practice location

3115 S Price Rd
Chandler, AZ 85248-3544

Mailing address

131 W Manor St
Chandler, AZ 85225-7034
Phone (602) 317-9391

Other providers in Chandler, AZ

All providers in Chandler, AZ · Professional Counselor in Arizona

Sources for this page

Verify at the official NPI Registry.