Individual
JILLIAN GUTHRIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
145 W VAN BUREN, EUREKA SPRINGS, AR 72632-3650
(479) 244-5181
Mailing address
PO BOX 3074, HOLIDAY ISLAND, AR 72631-3074
(479) 244-5181
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1902-C
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5Y048
BLUE CROSS
AR
01
—
PENDING
NPI
AR
Enumeration date
06/30/2006
Last updated
11/04/2011
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