Doctor Name: | MRS. MARIA NOVA WINONA GUYOTT |
NPI Number: | 1376816223 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A., M.H.P. |
License Number: | CG60153915 |
Business Practice Address: | 2821 Mission Hill Rd Tulalip, WA - 982719706 |
Business Phone Number: | 3607164400 |
Business Fax Number: | 3606514404 |
Mailing Address: | 12106 49th Dr Se, EVERETT |
State: | WA |
Postal Code: | 982089104 |
Phone Number: | 3607164380 |
Fax Number: | 3607164400 |
NPI Enumeration Date: | 02/22/2012 |
NPI Last Update Date: | 02/22/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | CG60153915 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |