| Doctor Name: | MR. GREGORY CHARLES GUICE |
| NPI Number: | 1003047366 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MA |
| License Number: | |
| Business Practice Address: | 1151 Taylor Ave. Detroit, MI - 48202 |
| Business Phone Number: | 3138748715 |
| Business Fax Number: | |
| Mailing Address: | 30702 Club House Lane Ave., FARMINGTON HILLS |
| State: | MI |
| Postal Code: | 48334 |
| Phone Number: | 2487374147 |
| Fax Number: | |
| NPI Enumeration Date: | 08/05/2009 |
| NPI Last Update Date: | 08/05/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |