Healthcare Provider Details

I. General information

NPI: 1386571370
Provider Name (Legal Business Name): CLAIRE VICTORIA GUITTARD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/05/2026
Last Update Date: 05/05/2026
Certification Date: 05/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

251 S OAK PARK BLVD APT 49
GROVER BEACH CA
93433-4215
US

IV. Provider business mailing address

251 S OAK PARK BLVD APT 49
GROVER BEACH CA
93433-4215
US

V. Phone/Fax

Practice location:
  • Phone: 805-434-8807
  • Fax:
Mailing address:
  • Phone: 805-434-8807
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number20371
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: