MEDICARE: JULIE-ANNE GUETHS

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
1	101YP2500X	Professional Counselor	86788	TX

General Provider Information

NPI Number	:	1700659463
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JULIE-ANNE GUETHS

Provider Business Mailing Address
First Line	:	1703 N LOOP 1604 W APT 4204
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78258-4688
Country	:	US
Telephone Number	:	210-373-2890
Fax Number	:

Provider Business Practice Location Address
First Line	:	1703 N LOOP 1604 W APT 4204
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78258-4688
Country	:	US
Telephone Number	:	210-373-2890
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/03/2023
Last Update Date	:	11/03/2023

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Directions to “ JULIE-ANNE GUETHS ” Practice Location

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