Provider Demographics
NPI:1811226418
Name:GUENTHER, JESSICA E (LMSW)
Entity Type:Individual
Prefix:
First Name:JESSICA
Middle Name:E
Last Name:GUENTHER
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:408 EMMONS HILL RD
Mailing Address - Street 2:
Mailing Address - City:ONEONTA
Mailing Address - State:NY
Mailing Address - Zip Code:13820-3615
Mailing Address - Country:US
Mailing Address - Phone:607-434-2814
Mailing Address - Fax:
Practice Address - Street 1:408 EMMONS HILL RD
Practice Address - Street 2:
Practice Address - City:ONEONTA
Practice Address - State:NY
Practice Address - Zip Code:13820-3615
Practice Address - Country:US
Practice Address - Phone:607-434-2814
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-12-10
Last Update Date:2009-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY079756104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker