Healthcare Provider Details

I. General information

NPI: 1053227843
Provider Name (Legal Business Name): BARBARA GUERRA
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/20/2026
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PO BOX 50463
LOS ANGELES CA
90050-0403
US

IV. Provider business mailing address

PO BOX 50463
LOS ANGELES CA
90050-0403
US

V. Phone/Fax

Practice location:
  • Phone: 312-897-8487
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number148555
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: