Provider Demographics
NPI:1700659463
Name:GUETHS, JULIE-ANNE
Entity Type:Individual
Prefix:
First Name:JULIE-ANNE
Middle Name:
Last Name:GUETHS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1703 N LOOP 1604 W APT 4204
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78258-4688
Mailing Address - Country:US
Mailing Address - Phone:210-373-2890
Mailing Address - Fax:
Practice Address - Street 1:1703 N LOOP 1604 W APT 4204
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78258-4688
Practice Address - Country:US
Practice Address - Phone:210-373-2890
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-11-03
Last Update Date:2023-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX86788101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional