Provider Demographics
NPI:1992911176
Name:GUIGNARD, CLAUDIA DICKINSON (RN, LPC, LMFT)
Entity type:Individual
Prefix:MRS
First Name:CLAUDIA
Middle Name:DICKINSON
Last Name:GUIGNARD
Suffix:
Gender:F
Credentials:RN, LPC, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1662 KATHWOOD DR
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29206-4510
Mailing Address - Country:US
Mailing Address - Phone:803-782-6200
Mailing Address - Fax:803-748-4755
Practice Address - Street 1:4700 FOREST DR
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29206-3119
Practice Address - Country:US
Practice Address - Phone:803-960-9361
Practice Address - Fax:803-748-4755
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC3635101YP2500X
SC4099106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist