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NPI Code Detail

MEDICARE: LORI ANNE GUINN LISW

MEDICARE: LORI ANNE GUINN LISW
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
1101YM0800XMental Health CounselorI0005293OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1730266214
Entity Type Code : Individual
Provider Name (Legal Business Name) : LORI ANNE GUINN LISW
Provider Business Mailing Address
First Line : 1735 27TH ST STE B06
Second Line :
City : PORTSMOUTH
State : OH
Zip : 45662-2681
Country : US
Telephone Number : 740-356-8681
Fax Number : 740-353-7900
Provider Business Practice Location Address
First Line : 1248 KINNEYS LN
Second Line :
City : PORTSMOUTH
State : OH
Zip : 45662-2994
Country : US
Telephone Number : 740-356-7290
Fax Number : 740-356-7938
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/01/2006
Last Update Date : 08/01/2024

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Directions to “ LORI ANNE GUINN LISW” Practice Location

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