Doctor Name: | MR. JOHN GUNTHER |
NPI Number: | 1013312776 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LCSW |
License Number: | SW 11855 |
Business Practice Address: | 790 Veterans Way Pensacola, FL - 325071000 |
Business Phone Number: | 8509122500 |
Business Fax Number: | |
Mailing Address: | 790 Veterans Way, PENSACOLA |
State: | FL |
Postal Code: | 325071000 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 10/23/2014 |
NPI Last Update Date: | 10/23/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | SW 11855 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |