Doctor Name: | ZORY MAR GUZMAN-FIGUEROA |
NPI Number: | 1144596933 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSCP |
License Number: | LPC00675 |
Business Practice Address: | 1585 3rd St Fort Polk, LA - 714595102 |
Business Phone Number: | 3333333333 |
Business Fax Number: | |
Mailing Address: | 1585 3rd St, FORT POLK |
State: | LA |
Postal Code: | 714595102 |
Phone Number: | 3333333333 |
Fax Number: | |
NPI Enumeration Date: | 03/27/2012 |
NPI Last Update Date: | 08/29/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | LPC00675 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |