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General NPI Number Information
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NPI Number | 1093025546
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Entity Type | Individual
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Provider Name | MARIANA GUZMAN LMFT, LAADC
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Gender | Female
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Dates
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Enumeration Date | 10/18/2010
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Last Update Date | 12/29/2021
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Provider Practice Location Address
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Address Line | 410 S MELROSE DR STE 105
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City | VISTA
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State | CA
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Zip | 92081-6607
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Country | US
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Telephone | 760-978-8300
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Fax | 888-292-0251
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Provider Business Mailing Address
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Address Line | 2200 BLISS CIR
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City | OCEANSIDE
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State | CA
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Zip | 92056-3594
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Country | US
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Telephone | 760-978-8300
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Fax | 888-292-0251
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | LR02601116
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 80015
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 80015
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License Number State | CA
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