Provider Demographics
NPI:1346069366
Name:GUIDO, CHRISTOPHER (MS)
Entity type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:
Last Name:GUIDO
Suffix:
Gender:M
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 SUMAC ST # 1
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19128-3826
Mailing Address - Country:US
Mailing Address - Phone:610-413-5893
Mailing Address - Fax:
Practice Address - Street 1:200 SUMAC ST # 1
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19128-3826
Practice Address - Country:US
Practice Address - Phone:610-413-5893
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-07
Last Update Date:2024-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor