Provider Demographics
NPI:1619993516
Name:GUHL, MARILYN YVONNE (MED LPC LADC CCCJS)
Entity Type:Individual
Prefix:MS
First Name:MARILYN
Middle Name:YVONNE
Last Name:GUHL
Suffix:
Gender:F
Credentials:MED LPC LADC CCCJS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:138 S. MAIN
Mailing Address - Street 2:
Mailing Address - City:AFTON
Mailing Address - State:OK
Mailing Address - Zip Code:74331
Mailing Address - Country:US
Mailing Address - Phone:918-257-4244
Mailing Address - Fax:918-456-8773
Practice Address - Street 1:138 S. MAIN
Practice Address - Street 2:
Practice Address - City:AFTON
Practice Address - State:OK
Practice Address - Zip Code:74331
Practice Address - Country:US
Practice Address - Phone:918-257-4244
Practice Address - Fax:918-456-8773
Is Sole Proprietor?:No
Enumeration Date:2006-07-14
Last Update Date:2018-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK3448101YM0800X, 103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Not Answered103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling