Gutbrod, Victoria Ann

Gutbrod, Victoria Ann is an individual health care provider with primary practice located at 2680 W Market St , Fairlawn OH 44333-4215. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Gutbrod, Victoria Ann can be contacted via phone (234) 867-5001.

Contact Information

Primary practice address
2680 W Market St Fairlawn OH 44333-4215
Phone: (234) 867-5001
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X E0004392 Ohio
Behavioral Health & Social Service Providers / Mental Health 101YM0800X E0004392 Ohio

Profile Details

NPI number 1740339977
LBN Legal business name Gutbrod, Victoria Ann
Credentials LPCC
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 9th, 2007
Last updated Jan 4th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740339977 NPPES
Ohio MEDICAID 2651189
Ohio Other 000000498082
Ohio Other 831899000

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