| Doctor Name: | MICHAEL GUIBORD |
| NPI Number: | 1275629008 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LPCA |
| License Number: | 0935 |
| Business Practice Address: | 2748 Grassy Lick Road Hillcrest Hall Mt Sterling, KY - 40353 |
| Business Phone Number: | 8594986574 |
| Business Fax Number: | 8594987325 |
| Mailing Address: | Po Box 790, ASHLAND |
| State: | KY |
| Postal Code: | 411050790 |
| Phone Number: | 6063298588 |
| Fax Number: | 6063298195 |
| NPI Enumeration Date: | 10/05/2006 |
| NPI Last Update Date: | 09/29/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 0935 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | KY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |