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NPI Code Detail

MEDICARE: MRS. BERNETTA TANETTE GUY

MEDICARE: MRS. BERNETTA TANETTE GUY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) Counselor

General Provider Information

NPI Number : 1326693862
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. BERNETTA TANETTE GUY
Provider Business Mailing Address
First Line : 1040 W BRISTOL RD
Second Line :
City : FLINT
State : MI
Zip : 48507-5516
Country : US
Telephone Number : 810-496-5562
Fax Number :
Provider Business Practice Location Address
First Line : 1040 W BRISTOL RD
Second Line :
City : FLINT
State : MI
Zip : 48507-5516
Country : US
Telephone Number : 810-496-5562
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/01/2019
Last Update Date : 12/19/2025

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Directions to “ MRS. BERNETTA TANETTE GUY ” Practice Location

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