NPI Profile for JOSE LUIS GUERRA in NEW YORK, NY.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Mental Health |
101YM0800X | |||
Counseling |
103TC1900X | 62 | Psychologist, Clinical | |
Exercise & Sports |
103TE1100X | 62 | Psychologist, Clinical | |
Marriage & Family Therapist |
106H00000X | |||
Professional |
101YP2500X | |||
Psychologist |
103T00000X | 62 | Psychologist, Clinical |
| NPI # | 1568692721 |
|
| Status | Active | |
| Credentials | LMHC (Licensed Mental Health Counselor) | |
| Entity | Individual | |
| Enumeration date | 07/22/2009 | |
| Last updated | 04/05/2011 - About 15 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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JOSE LUIS GUERRA
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