Healthcare Provider Details

I. General information

NPI: 1508599184
Provider Name (Legal Business Name): JOHN PAUL GUERRERO LPC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/01/2022
Last Update Date: 05/31/2024
Certification Date: 05/31/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1003 COLLEGE ST
JUNCTION TX
76849-4632
US

IV. Provider business mailing address

PO BOX 669
MENARD TX
76859-0669
US

V. Phone/Fax

Practice location:
  • Phone: 325-446-3999
  • Fax:
Mailing address:
  • Phone: 325-869-5500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number89151
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: