MEDICARE: MELISSA GUERRERO MFT

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
2	106H00000X	Marriage & Family Therapist	90125	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	90125	OTHER	CA	LMFT
2	68920	OTHER	CA	MFT

General Provider Information

NPI Number	:	1679981088
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELISSA GUERRERO MFT

Provider Business Mailing Address
First Line	:	2237 CLYDE AVE
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90016-1016
Country	:	US
Telephone Number	:	310-413-2141
Fax Number	:

Provider Business Practice Location Address
First Line	:	2237 CLYDE AVE
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90016-1016
Country	:	US
Telephone Number	:	310-413-2141
Fax Number	:

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

Provider Enumeration Date	:	07/29/2014
Last Update Date	:	01/22/2026

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Directions to “ MELISSA GUERRERO MFT” Practice Location

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