Individual provider · Type 1 NPI

Katherine Revah Guy, L.M.H.C., L.A.C., M.S.

Mental Health Counselor · Mishawaka, IN

NPI number 1669764965 Active

Practice location

615 Fulmer Rd
Mishawaka, IN 46544-6911

Call (574) 274-1162 Map

Fax (888) 826-3722

Mailing address

5725 S Bridgeton Ln
South Bend, IN 46614-6318

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X39001988A (IN)
Addiction (Substance Use Disorder) Counselor 101YA0400X86000180A (IN)

Mental Health Counselor: Definition to come...

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About NPI 1669764965

Katherine Revah Guy, L.M.H.C., L.A.C., M.S.'s National Provider Identifier is 1669764965, issued on May 5, 2011. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Mishawaka, IN. The record was last updated on Mar 14, 2012.