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NPI Code Detail

MEDICARE: REBECCA F GUHL LPCC-S, LCDC III

MEDICARE: REBECCA F GUHL LPCC-S, LCDC III
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
2101YP2500XProfessional Counselor

General Provider Information

NPI Number : 1417173824
Entity Type Code : Individual
Provider Name (Legal Business Name) : REBECCA F GUHL LPCC-S, LCDC III
Provider Business Mailing Address
First Line : 4449 STATE ROUTE 159
Second Line :
City : CHILLICOTHEE
State : OH
Zip : 45601-8620
Country : US
Telephone Number : 740-775-1260
Fax Number : 740-775-0292
Provider Business Practice Location Address
First Line : 5665 HOOVER RD
Second Line :
City : GROVE CITY
State : OH
Zip : 43123-9122
Country : US
Telephone Number : 614-572-6685
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/17/2007
Last Update Date : 08/27/2019

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