Healthcare Provider Details

I. General information

NPI: 1619634060
Provider Name (Legal Business Name): KATERINA GUERRERO MA, LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: KATERINA NEFF

II. Dates (important events)

Enumeration Date: 11/19/2021
Last Update Date: 02/07/2026
Certification Date: 02/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

401 HALL ST SW STE 112I
GRAND RAPIDS MI
49503-5098
US

IV. Provider business mailing address

401 HALL ST SW STE 112I
GRAND RAPIDS MI
49503-5098
US

V. Phone/Fax

Practice location:
  • Phone: 616-315-0506
  • Fax: 616-616-5652
Mailing address:
  • Phone: 616-315-0506
  • Fax: 616-616-5652

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number4101007627
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: