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General NPI Number Information
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NPI Number | 1174986855
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Entity Type | Individual
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Provider Name | JENNIFER GUTHRIE LPCC, LICDC, IMFT
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Gender | Female
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Dates
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Enumeration Date | 03/31/2016
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Last Update Date | 06/18/2025
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Provider Practice Location Address
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Address Line | 1951 OH-59 STE A
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City | KENT
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State | OH
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Zip | 44240
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Country | US
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Telephone | 833-510-4329
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Fax |
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Provider Business Mailing Address
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Address Line | 4600 MONTGOMERY RD STE 400
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City | CINCINNATI
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State | OH
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Zip | 45212-2600
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Country | US
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Telephone | 833-510-4357
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | LICDC.162194
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | F.2300315-SUPV
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | E.2303318-SUPV
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License Number State | OH
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