Provider Demographics
NPI:1336365089
Name:GUTTMACHER, BRIGID COLES (MA, LPC)
Entity Type:Individual
Prefix:
First Name:BRIGID
Middle Name:COLES
Last Name:GUTTMACHER
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:311 3RD ST SE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20003-1906
Mailing Address - Country:US
Mailing Address - Phone:202-669-7161
Mailing Address - Fax:
Practice Address - Street 1:311 3RD ST SE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20003-1906
Practice Address - Country:US
Practice Address - Phone:202-669-7161
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCPRC13672101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
DCK211OtherCAREFIRST