Doctor Name: | GUILLERMO M. LAGUARDIA |
NPI Number: | 1013133891 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LMHC |
License Number: | MH5606 |
Business Practice Address: | 430 West 66th Street Hialeah, FL - 330126646 |
Business Phone Number: | 3055582480 |
Business Fax Number: | 3058283146 |
Mailing Address: | 1714 W 57th Ter, HIALEAH |
State: | FL |
Postal Code: | 330126826 |
Phone Number: | 3058276509 |
Fax Number: | |
NPI Enumeration Date: | 04/18/2007 |
NPI Last Update Date: | 03/08/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | MH5606 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |