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NPI Code Detail

MEDICARE: CELINES GUZMAN

MEDICARE:   CELINES  GUZMAN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health CounselorFL

General Provider Information

NPI Number : 1255895736
Entity Type Code : Individual
Provider Name (Legal Business Name) : CELINES GUZMAN
Provider Business Mailing Address
First Line : 5102 ROSEGREEN CT
Second Line :
City : TAMPA
State : FL
Zip : 33624-4879
Country : US
Telephone Number : 813-508-3306
Fax Number :
Provider Business Practice Location Address
First Line : 2901 W SAINT ISABEL ST STE A1
Second Line :
City : TAMPA
State : FL
Zip : 33607-6350
Country : US
Telephone Number : 888-666-3089
Fax Number : 888-666-9870
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/29/2019
Last Update Date : 01/29/2019

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Directions to “ CELINES GUZMAN ” Practice Location

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