MRS. Polly Jane Guthrie, LADC

NPI #1104109198 in Fort Sill, Oklahoma

Provider Information

NPI Number: 1104109198
Entity Type: Individual
Name: MRS. Polly Jane Guthrie, LADC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Addiction (Substance Use Disorder)
Credential: LADC
Enumeration Date: Sep 26, 2011
Last Updated: Sep 26, 2011

Practice Location

Address: 4301 WILSON ST
Address 2: REYNOLDS ARMY COMMUNITY HOSPITAL
City: Fort Sill
State: Oklahoma
ZIP Code: 73503-4472
Phone: (580) 558-2646

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X	Primary

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