Doctor Name: | WILFORD GUEVARA |
NPI Number: | 1629304043 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LPC |
License Number: | 37PC00110500 |
Business Practice Address: | 9 W Broadway Fl 2 Paterson, NJ - 075051014 |
Business Phone Number: | 9732140670 |
Business Fax Number: | 9736845788 |
Mailing Address: | 222 Madison Ave, PATERSON |
State: | NJ |
Postal Code: | 075241812 |
Phone Number: | 9732140670 |
Fax Number: | 9736845788 |
NPI Enumeration Date: | 10/19/2009 |
NPI Last Update Date: | 10/19/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 37PC00110500 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NJ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |