Individual
JASON GUTHRIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCABA
Contact information
Practice address
24672 KIM CIR, LAGUNA HILLS, CA 92653-4314
(949) 357-4771
(949) 357-4771
Mailing address
24672 KIM CIR, LAGUNA HILLS, CA 92653-4314
(949) 357-4771
(949) 357-4771
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
AMFT145081
CA
Other
Enumeration date
06/13/2011
Last updated
08/20/2024
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