| Doctor Name: | JAMIE GUENIN |
| NPI Number: | 1679944359 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PLMPH |
| License Number: | 10664 |
| Business Practice Address: | 1381 East Road J N Paxton, NC - 69155 |
| Business Phone Number: | 3082842531 |
| Business Fax Number: | |
| Mailing Address: | 1381 Road East J N, PAXTON |
| State: | NE |
| Postal Code: | 691553335 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 10/07/2015 |
| NPI Last Update Date: | 10/07/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 10664 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NE |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |