Healthcare Provider Details

I. General information

NPI: 1851514483
Provider Name (Legal Business Name): NILFA MARIA GUZMAN LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/11/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1901 D ST SE
WASHINGTON DC
20003-2534
US

IV. Provider business mailing address

3001 VEAZEY TER NW APT 1124
WASHINGTON DC
20008-5406
US

V. Phone/Fax

Practice location:
  • Phone: 202-298-0448
  • Fax:
Mailing address:
  • Phone: 202-364-0956
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberPRC1097
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: