Provider Demographics
NPI:1003023797
Name:GUTHRIE, KARLIE RENEE (LMFT)
Entity Type:Individual
Prefix:
First Name:KARLIE
Middle Name:RENEE
Last Name:GUTHRIE
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8788 ELK GROVE BLVD STE F
Mailing Address - Street 2:
Mailing Address - City:ELK GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:95624-1767
Mailing Address - Country:US
Mailing Address - Phone:415-745-0426
Mailing Address - Fax:
Practice Address - Street 1:8788 ELK GROVE BLVD STE F
Practice Address - Street 2:
Practice Address - City:ELK GROVE
Practice Address - State:CA
Practice Address - Zip Code:95624-1767
Practice Address - Country:US
Practice Address - Phone:415-745-0426
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-16
Last Update Date:2021-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALMFT43761106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist