Provider Demographics
NPI:1821680612
Name:GUERIN, ARIANE (MA)
Entity Type:Individual
Prefix:
First Name:ARIANE
Middle Name:
Last Name:GUERIN
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:833 DAYTON DR
Mailing Address - Street 2:
Mailing Address - City:SEYMOUR
Mailing Address - State:TN
Mailing Address - Zip Code:37865-3444
Mailing Address - Country:US
Mailing Address - Phone:865-236-7592
Mailing Address - Fax:
Practice Address - Street 1:200 MIDLAKE DR UNIT A
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37918-3089
Practice Address - Country:US
Practice Address - Phone:865-257-9465
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-03
Last Update Date:2021-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN1849106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist