Individual
CHRISTIANNE GUY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
135 N MOON AVE, BRANDON, FL 33510-4419
(813) 689-8828
Mailing address
4902 EISENHOWER BLVD, TAMPA, FL 33634-6310
(813) 290-8560
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
766035900
—
FL
Enumeration date
02/15/2007
Last updated
01/30/2019
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