Doctor Name: | MRS. AMY MARIE GUY |
NPI Number: | 1013264100 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S, LCPC |
License Number: | 180.006036 |
Business Practice Address: | 408 S 4th St Effingham, IL - 624013703 |
Business Phone Number: | 2172461810 |
Business Fax Number: | |
Mailing Address: | 2465 E Us Highway 40, ALTAMONT |
State: | IL |
Postal Code: | 624112300 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 08/08/2012 |
NPI Last Update Date: | 08/08/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 180.006036 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |