Provider Demographics
NPI:1447555131
Name:GALARZA, DAVID (LCPC)
Entity type:Individual
Prefix:MR
First Name:DAVID
Middle Name:
Last Name:GALARZA
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 1:1401 MCHENRY RD
Mailing Address - Street 2:SUITE 122
Mailing Address - City:BUFFALO GROVE
Mailing Address - State:IL
Mailing Address - Zip Code:60089-1382
Mailing Address - Country:US
Mailing Address - Phone:847-913-0393
Mailing Address - Fax:847-913-9630
Practice Address - Street 1:1790 NATIONS DR
Practice Address - Street 2:SUITE 208
Practice Address - City:GURNEE
Practice Address - State:IL
Practice Address - Zip Code:60031-9164
Practice Address - Country:US
Practice Address - Phone:847-913-0393
Practice Address - Fax:847-913-9630
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-11
Last Update Date:2011-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180.007431101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional