Healthcare Provider Details

I. General information

NPI: 1629368592
Provider Name (Legal Business Name): CHRISTINE DIPRINZIO GUERRERO M.A. LPC, CAADC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/13/2011
Last Update Date: 09/16/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

119 W LANCASTER AVE
SHILLINGTON PA
19607-1857
US

IV. Provider business mailing address

119 W LANCASTER AVE
SHILLINGTON PA
19607-1857
US

V. Phone/Fax

Practice location:
  • Phone: 610-750-1423
  • Fax:
Mailing address:
  • Phone: 610-750-1423
  • Fax: 610-670-2953

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberPC005918
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: