| Doctor Name: | JEREMY S COUCH |
| NPI Number: | 1235148065 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | L.P.C. |
| License Number: | 2399 |
| Business Practice Address: | 2409 Homer Clayton Dr Guntersville, AL - 359762207 |
| Business Phone Number: | 2565823203 |
| Business Fax Number: | 2565823216 |
| Mailing Address: | 304 Arad Thompson Rd Ne, ARAB |
| State: | AL |
| Postal Code: | 350162733 |
| Phone Number: | 2566535350 |
| Fax Number: | |
| NPI Enumeration Date: | 08/08/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 2399 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | AL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |