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NPI Code Detail

MEDICARE: KERRY L GUIZZO LMFT

MEDICARE:   KERRY L GUIZZO  LMFT
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
1106H00000XMarriage & Family Therapist60183CA

General Provider Information

NPI Number : 1801045463
Entity Type Code : Individual
Provider Name (Legal Business Name) : KERRY L GUIZZO LMFT
Provider Business Mailing Address
First Line : 31819 VIA CAMPANARIO
Second Line :
City : TEMECULA
State : CA
Zip : 92592-3614
Country : US
Telephone Number : 951-375-6587
Fax Number : 951-375-6587
Provider Business Practice Location Address
First Line : 28991 OLD TOWN FRONT ST STE 102
Second Line :
City : TEMECULA
State : CA
Zip : 92590-2858
Country : US
Telephone Number : 951-375-6587
Fax Number : 951-595-4911
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/18/2008
Last Update Date : 09/09/2022

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Directions to “ KERRY L GUIZZO LMFT” Practice Location

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