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General NPI Number Information
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NPI Number | 1568227080
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Entity Type | Individual
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Provider Name | MICHELLE GISELLE GUERRERO
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Gender | Female
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Dates
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Enumeration Date | 02/14/2024
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Last Update Date | 02/14/2024
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Provider Practice Location Address
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Address Line | 34270 PACIFIC COAST HWY
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City | DANA POINT
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State | CA
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Zip | 92629-2847
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Country | US
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Telephone | 949-356-7952
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Fax |
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Provider Business Mailing Address
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Address Line | 13241 RANCHO BERNARD CT
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City | CHINO
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State | CA
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Zip | 91710-4573
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Country | US
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Telephone | 909-438-7690
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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 | AMFT142720
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License Number State | CA
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