Doctor Name: | MAUREEN GUERRERO |
NPI Number: | 1447328091 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS |
License Number: | 314 |
Business Practice Address: | 1002 W 120th St S Jenks, OK - 740372863 |
Business Phone Number: | 9186051519 |
Business Fax Number: | 9183840004 |
Mailing Address: | 1002 W 120th St S, JENKS |
State: | OK |
Postal Code: | 740372863 |
Phone Number: | 9186051519 |
Fax Number: | |
NPI Enumeration Date: | 12/01/2006 |
NPI Last Update Date: | 09/26/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 314 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | OK |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |