Basic Information
Provider Information
NPI: 1417173824
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: GUHL
FirstName: REBECCA
MiddleName: F
NamePrefix:  
NameSuffix:  
Credential: LPCC-S, LCDC III
OtherOrganizationName:  
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OtherLastName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 4449 STATE ROUTE 159
Address2:  
City: CHILLICOTHE
State: OH
PostalCode: 456018620
CountryCode: US
TelephoneNumber: 7407751260
FaxNumber: 7407750292
Practice Location
Address1: 5665 HOOVER RD
Address2:  
City: GROVE CITY
State: OH
PostalCode: 431239122
CountryCode: US
TelephoneNumber: 6145726685
FaxNumber:  
Other Information
ProviderEnumerationDate: 04/17/2007
LastUpdateDate: 08/27/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
101YA0400X  N Behavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
101YP2500X  Y Behavioral Health & Social Service ProvidersCounselorProfessional

No ID Information.


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