Individual
MR. MARK PAUL GUTHRIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A., C.R.C
Contact information
Practice address
2158 MARAVILLA LN, FORT MYERS, FL 33901-7250
(239) 278-4989
Mailing address
2158 MARAVILLA LN, FORT MYERS, FL 33901-7250
(239) 278-4989
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6844171 79
—
FL
Enumeration date
04/06/2009
Last updated
04/06/2009
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