Provider Demographics
NPI:1750315156
Name:WILLIAMS, JENNIFER GUTHRIDGE (MS, LMHC)
Entity type:Individual
Prefix:MRS
First Name:JENNIFER
Middle Name:GUTHRIDGE
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:MS, LMHC
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:9465 COUNSELORS ROW STE 200
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46240-3817
Mailing Address - Country:US
Mailing Address - Phone:317-840-8021
Mailing Address - Fax:317-807-6125
Practice Address - Street 1:9465 COUNSELORS ROW STE 200
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46240-3817
Practice Address - Country:US
Practice Address - Phone:317-840-8021
Practice Address - Fax:317-807-6125
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-10
Last Update Date:2025-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN39001515A101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN39001515AOtherLICENSE - LMHC