Provider Demographics
NPI:1932787645
Name:GUARINO, JENNIFER PAYNE (LMFT)
Entity Type:Individual
Prefix:MS
First Name:JENNIFER
Middle Name:PAYNE
Last Name:GUARINO
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3009 BAKER WAY
Mailing Address - Street 2:
Mailing Address - City:SPRING HILL
Mailing Address - State:TN
Mailing Address - Zip Code:37174-7576
Mailing Address - Country:US
Mailing Address - Phone:615-594-1723
Mailing Address - Fax:
Practice Address - Street 1:3009 BAKER WAY
Practice Address - Street 2:
Practice Address - City:SPRING HILL
Practice Address - State:TN
Practice Address - Zip Code:37174-7576
Practice Address - Country:US
Practice Address - Phone:615-594-1723
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-01
Last Update Date:2021-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN975106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist