Provider Demographics
NPI:1609591072
Name:ANDREA GUERRERO A LICENSED MARRIAGE & FAMILY THERAPIST, PROFESSIONAL CORPORATION
Entity type:Organization
Organization Name:ANDREA GUERRERO A LICENSED MARRIAGE & FAMILY THERAPIST, PROFESSIONAL CORPORATION
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:ANDREA
Authorized Official - Middle Name:
Authorized Official - Last Name:GUERRERO ROBLES
Authorized Official - Suffix:
Authorized Official - Credentials:DMFT
Authorized Official - Phone:951-554-0737
Mailing Address - Street 1:30651 LAKEVIEW AVE
Mailing Address - Street 2:
Mailing Address - City:NUEVO
Mailing Address - State:CA
Mailing Address - Zip Code:92567-9556
Mailing Address - Country:US
Mailing Address - Phone:951-554-0737
Mailing Address - Fax:
Practice Address - Street 1:30651 LAKEVIEW AVE
Practice Address - Street 2:
Practice Address - City:NUEVO
Practice Address - State:CA
Practice Address - Zip Code:92567-9556
Practice Address - Country:US
Practice Address - Phone:951-554-0737
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-07
Last Update Date:2025-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty