Provider Demographics
NPI:1962951632
Name:GUNTHNER, JULIA A (LPC)
Entity type:Individual
Prefix:DR
First Name:JULIA
Middle Name:A
Last Name:GUNTHNER
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:DR
Other - First Name:JULIA
Other - Middle Name:A
Other - Last Name:HINTZE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCP
Mailing Address - Street 1:1528 E. GARY ST.
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85203
Mailing Address - Country:US
Mailing Address - Phone:480-529-8387
Mailing Address - Fax:480-610-9227
Practice Address - Street 1:1528 E. GARY ST.
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85203
Practice Address - Country:US
Practice Address - Phone:480-529-8387
Practice Address - Fax:480-610-9227
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-23
Last Update Date:2020-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLPC14300101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health