Doctor Name: | JUDITH GUEST-CALDWELL |
NPI Number: | 1144419102 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | 1999139480 |
Business Practice Address: | 8965 Highway 36 Suite F Hannibal, MO - 634016739 |
Business Phone Number: | 5732217027 |
Business Fax Number: | 5732217028 |
Mailing Address: | 428 S 36th St, QUINCY |
State: | IL |
Postal Code: | 623015924 |
Phone Number: | 2172246300 |
Fax Number: | 2172244329 |
NPI Enumeration Date: | 10/16/2007 |
NPI Last Update Date: | 10/16/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 1999139480 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |