Provider Demographics
NPI:1689398034
Name:GUY, JAMIE (LMFT)
Entity Type:Individual
Prefix:
First Name:JAMIE
Middle Name:
Last Name:GUY
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:JAMIE
Other - Middle Name:
Other - Last Name:TRANA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1202 4TH AVE
Mailing Address - Street 2:
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52240-2018
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2140 NORCOR AVE STE 114
Practice Address - Street 2:
Practice Address - City:CORALVILLE
Practice Address - State:IA
Practice Address - Zip Code:52241-9736
Practice Address - Country:US
Practice Address - Phone:319-975-8705
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-29
Last Update Date:2022-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA114298106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist