Provider Demographics
NPI:1508910936
Name:GUTZWILLER, KARI LYNN (PCC)
Entity Type:Individual
Prefix:MRS
First Name:KARI
Middle Name:LYNN
Last Name:GUTZWILLER
Suffix:
Gender:F
Credentials:PCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1717 DIXIE HIGHWAY
Mailing Address - Street 2:SUITE 200
Mailing Address - City:FT WRIGHT
Mailing Address - State:KY
Mailing Address - Zip Code:41011
Mailing Address - Country:US
Mailing Address - Phone:859-341-7453
Mailing Address - Fax:859-344-3183
Practice Address - Street 1:8280 MONTGOMERY ROAD
Practice Address - Street 2:SUITE 304
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45236
Practice Address - Country:US
Practice Address - Phone:513-794-8777
Practice Address - Fax:513-794-8779
Is Sole Proprietor?:No
Enumeration Date:2007-01-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE3401101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional