| Doctor Name: | GREGORY P GUERIN |
| NPI Number: | 1932488525 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LPC |
| License Number: | 3196 |
| Business Practice Address: | 9091 Ellerbe Rd Suite 200 B Shreveport, LA - 711066738 |
| Business Phone Number: | 3183495590 |
| Business Fax Number: | 3188613836 |
| Mailing Address: | 9091 Ellerbe Rd, Suite 200 B SHREVEPORT |
| State: | LA |
| Postal Code: | 711066738 |
| Phone Number: | 3183495590 |
| Fax Number: | 3188613836 |
| NPI Enumeration Date: | 08/12/2011 |
| NPI Last Update Date: | 08/12/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 3196 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | LA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |