Provider Demographics
NPI:1407212202
Name:GUIDI, JENNIFER (MA LMFTA)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:
Last Name:GUIDI
Suffix:
Gender:F
Credentials:MA LMFTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:819 N FELTS RD
Mailing Address - Street 2:
Mailing Address - City:SPOKANE VALLEY
Mailing Address - State:WA
Mailing Address - Zip Code:99206-3911
Mailing Address - Country:US
Mailing Address - Phone:509-850-5169
Mailing Address - Fax:509-892-6821
Practice Address - Street 1:819 N FELTS RD
Practice Address - Street 2:
Practice Address - City:SPOKANE VALLEY
Practice Address - State:WA
Practice Address - Zip Code:99206-3911
Practice Address - Country:US
Practice Address - Phone:509-850-5169
Practice Address - Fax:509-892-6821
Is Sole Proprietor?:No
Enumeration Date:2016-01-08
Last Update Date:2017-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMG60625145106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist