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Individual

HEATHER GUTHRIE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW, LICSW, QMHP

Contact information

Practice address
1523 SE HONEYSUCKLE LOOP, WARRENTON, OR 97146-7418
(541) 961-4226
Mailing address
PO BOX 1337, ASTORIA, OR 97103-1337
(541) 961-4226

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
L7738
OR
101YM0800X
Mental Health Counselor
LW61459551
WA
101YM0800X
Mental Health Counselor
1041C0700X
Clinical Social Worker
CSW993070
CO
1041C0700X
Clinical Social Worker
Primary
L7738
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0583984
CO
05
500748340
OR
01
R219077
MEDICARE
OR
Enumeration date
04/21/2006
Last updated
11/02/2023
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