Healthcare Provider Details

I. General information

NPI: 1326294190
Provider Name (Legal Business Name): KAREN LOUISE GLUNT LPCMH, NCC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/13/2008
Last Update Date: 10/14/2020
Certification Date: 10/14/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30996 OAK LEAF DR
LEWES DE
19958-5588
US

IV. Provider business mailing address

30996 OAK LEAF DR
LEWES DE
19958-5588
US

V. Phone/Fax

Practice location:
  • Phone: 302-897-2882
  • Fax:
Mailing address:
  • Phone: 302-897-2882
  • Fax: 302-762-8987

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberPC-0000229
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: