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General NPI Number Information
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NPI Number | 1215138383
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Entity Type | Individual
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Provider Name | MICHELLE GUERRA CPC, LCADC
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Gender | Female
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Dates
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Enumeration Date | 05/29/2007
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Last Update Date | 04/30/2025
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Provider Practice Location Address
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Address Line | 3321 N BUFFALO DR STE 200
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City | LAS VEGAS
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State | NV
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Zip | 89129-6680
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Country | US
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Telephone | 702-857-8800
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Fax | 702-857-8801
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Provider Business Mailing Address
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Address Line | 604 FM 471 N
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City | CASTROVILLE
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State | TX
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Zip | 78009-5024
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Country | US
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Telephone | 702-587-3900
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Fax |
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 0017
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 121
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License Number State | NV
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Taxonomy #4
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 19065
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License Number State | TX
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Taxonomy #5
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 0017
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License Number State | NV
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