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General NPI Number Information
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NPI Number | 1528141801
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Entity Type | Individual
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Provider Name | TERESA RAE GUERARD LMHC
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Gender | Female
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Dates
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Enumeration Date | 10/23/2006
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 427 CENTER POINTE CIR SUITE 1878
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City | ALTAMONTE SPRINGS
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State | FL
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Zip | 32701-3463
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Country | US
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Telephone | 407-260-0031
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Fax | 407-260-0091
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Provider Business Mailing Address
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Address Line | 1571 PINE CT
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City | APOPKA
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State | FL
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Zip | 32703-1574
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Country | US
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Telephone | 407-814-9060
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | MH7210
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License Number State | FL
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