Healthcare Provider Details

I. General information

NPI: 1669163630
Provider Name (Legal Business Name): CLAUDIA GUZMAN AMFT, APCC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/18/2023
Last Update Date: 05/18/2023
Certification Date: 05/18/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

38970 BLACOW RD STE C
FREMONT CA
94536-7380
US

IV. Provider business mailing address

41041 TRIMBOLI WAY UNIT 1520
FREMONT CA
94538-8035
US

V. Phone/Fax

Practice location:
  • Phone: 510-408-7213
  • Fax:
Mailing address:
  • Phone: 510-925-0906
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: