Provider Demographics
NPI:1801093299
Name:GUINN, TANYA JEAN (LPC)
Entity type:Individual
Prefix:MRS
First Name:TANYA
Middle Name:JEAN
Last Name:GUINN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:119 KEYSTONE DR
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27513-2809
Mailing Address - Country:US
Mailing Address - Phone:919-961-2147
Mailing Address - Fax:888-511-3352
Practice Address - Street 1:800 W WILLIAMS ST
Practice Address - Street 2:SUITE 231-O
Practice Address - City:APEX
Practice Address - State:NC
Practice Address - Zip Code:27502-5203
Practice Address - Country:US
Practice Address - Phone:919-961-2147
Practice Address - Fax:888-333-8594
Is Sole Proprietor?:No
Enumeration Date:2007-06-28
Last Update Date:2015-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC6576101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health