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NPI 1720635261

NPI 1720635261 : ESTEFANIA GUZMAN LCSW : BAKERSFIELD, CA

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General NPI Number Information
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    NPI Number           |    1720635261
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    Entity Type          |    Individual 
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    Provider Name        |    ESTEFANIA GUZMAN LCSW
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/20/2019
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    Last Update Date     |    12/13/2024
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Provider Practice Location Address
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    Address Line         |    1600 E TRUXTUN AVE 
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    City                 |    BAKERSFIELD
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    State                |    CA
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    Zip                  |    93305-5432
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    Country              |    US
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    Telephone            |    661-322-9199
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1300 17TH ST 
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    City                 |    BAKERSFIELD
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    State                |    CA
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    Zip                  |    93301-4504
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    Country              |    US
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    Telephone            |    
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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        |    1041S0200X
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    Taxonomy Name        |    School Social Worker
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    261QM0855X
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    Taxonomy Name        |    Adolescent and Children Mental Health Clinic/Center
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    License Number       |    LCSW108288
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    License Number State |    CA
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Taxonomy #3
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    Taxonomy Code        |    1041C0700X
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    Taxonomy Name        |    Clinical Social Worker
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    License Number       |    108288
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    License Number State |    CA
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