Healthcare Provider Details

I. General information

NPI: 1245570274
Provider Name (Legal Business Name): VANESSA CHRISTINE GUIDO MS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/28/2013
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7541 NEY AVE
OAKLAND CA
94605-2915
US

IV. Provider business mailing address

7541 NEY AVE
OAKLAND CA
94605-2915
US

V. Phone/Fax

Practice location:
  • Phone: 415-966-8232
  • Fax:
Mailing address:
  • Phone: 415-966-8232
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberLMFT152678
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: