Doctor Name: | TERESA RAE GUERARD |
NPI Number: | 1528141801 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMHC |
License Number: | MH7210 |
Business Practice Address: | 427 Center Pointe Cir Suite 1878 Altamonte Springs, FL - 327013463 |
Business Phone Number: | 4072600031 |
Business Fax Number: | 4072600091 |
Mailing Address: | 1571 Pine Ct, APOPKA |
State: | FL |
Postal Code: | 327031574 |
Phone Number: | 4078149060 |
Fax Number: | |
NPI Enumeration Date: | 10/23/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | MH7210 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |