Individual
MRS. STACEY DENISE GUTHRIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC-S
Contact information
Practice address
9761 DOROTHY DR, OLIVE BRANCH, MS 38654-6598
(901) 412-2720
Mailing address
8626 AIRWAYS BLVD, SOUTHAVEN, MS 38671-2603
(662) 772-5937
(662) 772-5940
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
1239
MS
101YP2500X
Professional Counselor
Primary
1239
MS
101YS0200X
School Counselor
1239
MS
Other
Enumeration date
06/13/2016
Last updated
12/06/2025
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