MEDICARE: GEORGINA GUERRERO-BIJARRO LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	80852	TX

General Provider Information

NPI Number	:	1336818954
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GEORGINA GUERRERO-BIJARRO LPC

Provider Business Mailing Address
First Line	:	1038 TEXAS YES BLVD
Second Line	:
City	:	ROBSTOWN
State	:	TX
Zip	:	78380-6142
Country	:	US
Telephone Number	:	361-886-1445
Fax Number	:	361-886-1456

Provider Business Practice Location Address
First Line	:	1038 TEXAS YES BLVD
Second Line	:
City	:	ROBSTOWN
State	:	TX
Zip	:	78380-6142
Country	:	US
Telephone Number	:	361-886-1445
Fax Number	:	361-886-1456

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/08/2021
Last Update Date	:	09/09/2021

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Directions to “ GEORGINA GUERRERO-BIJARRO LPC” Practice Location

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