Provider Demographics
NPI:1639283120
Name:GUENTHER, BEVERLY JALON (LPC)
Entity Type:Individual
Prefix:MRS
First Name:BEVERLY
Middle Name:JALON
Last Name:GUENTHER
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:720 ENERGY CENTER BLVD
Mailing Address - Street 2:SUITE 502
Mailing Address - City:NORTHPORT
Mailing Address - State:AL
Mailing Address - Zip Code:35473-5828
Mailing Address - Country:US
Mailing Address - Phone:205-344-5507
Mailing Address - Fax:205-344-5508
Practice Address - Street 1:720 ENERGY CENTER BLVD
Practice Address - Street 2:SUITE 502
Practice Address - City:NORTHPORT
Practice Address - State:AL
Practice Address - Zip Code:35473-5828
Practice Address - Country:US
Practice Address - Phone:205-344-5507
Practice Address - Fax:205-344-5508
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1816101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional