Healthcare Provider Details

I. General information

NPI: 1073026852
Provider Name (Legal Business Name): BERNADETTE GUERRERO MS, LAMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/15/2017
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date: 05/29/2026
Reactivation Date: 06/29/2026

III. Provider practice location address

101 N ALAMEDA BLVD STE 1
LAS CRUCES NM
88005-2600
US

IV. Provider business mailing address

PO BOX 446
LAS CRUCES NM
88004-0446
US

V. Phone/Fax

Practice location:
  • Phone: 575-405-7146
  • Fax:
Mailing address:
  • Phone: 575-571-5779
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: