MEDICARE: WINTER GUERRERO M.S., LPC, LCDC

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
1	101YA0400X	Addiction (Substance Use Disorder) Counselor	14010	TX
2	101YP2500X	Professional Counselor	86844	TX

General Provider Information

NPI Number	:	1518485028
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WINTER GUERRERO M.S., LPC, LCDC

Provider Business Mailing Address
First Line	:	2911 S NEW BRAUNFELS AVE
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78210-5220
Country	:	US
Telephone Number	:	210-377-1133
Fax Number	:

Provider Business Practice Location Address
First Line	:	2911 S NEW BRAUNFELS AVE
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78210-5220
Country	:	US
Telephone Number	:	210-440-7464
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/05/2017
Last Update Date	:	04/03/2024

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