MEDICARE: CHRISTINE DIPRINZIO GUERRERO M.A. LPC, CAADC

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	101YP2500X	Professional Counselor	PC005918	PA
2	101YA0400X	Addiction (Substance Use Disorder) Counselor

General Provider Information

NPI Number	:	1629368592
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTINE DIPRINZIO GUERRERO M.A. LPC, CAADC

Provider Business Mailing Address
First Line	:	119 W LANCASTER AVE
Second Line	:
City	:	SHILLINGTON
State	:	PA
Zip	:	19607-1857
Country	:	US
Telephone Number	:	610-750-1423
Fax Number	:	610-670-2953

Provider Business Practice Location Address
First Line	:	119 W LANCASTER AVE
Second Line	:
City	:	SHILLINGTON
State	:	PA
Zip	:	19607-1857
Country	:	US
Telephone Number	:	610-750-1423
Fax Number	:

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

Provider Enumeration Date	:	04/13/2011
Last Update Date	:	09/16/2015

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