Healthcare Provider Details

I. General information

NPI: 1164195566
Provider Name (Legal Business Name): LIZBETH M GARCIA GUZMAN APCC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/30/2021
Last Update Date: 08/04/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14075 HESPERIA RD
VICTORVILLE CA
92395-4500
US

IV. Provider business mailing address

14075 HESPERIA RD STE 106
VICTORVILLE CA
92395-4500
US

V. Phone/Fax

Practice location:
  • Phone: 909-586-0265
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberAPCC22864
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: