MEDICARE: MS. KATERINA GUERRERO MA, LMFT

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	106H00000X	Marriage & Family Therapist	4101007627	MI

General Provider Information

NPI Number	:	1619634060
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. KATERINA GUERRERO MA, LMFT

Provider Business Mailing Address
First Line	:	4190 TELEGRAPH RD STE 3000
Second Line	:
City	:	BLOOMFIELD HILLS
State	:	MI
Zip	:	48302-2082
Country	:	US
Telephone Number	:	616-315-0506
Fax Number	:

Provider Business Practice Location Address
First Line	:	4190 TELEGRAPH RD STE 3000
Second Line	:
City	:	BLOOMFIELD HILLS
State	:	MI
Zip	:	48302-2082
Country	:	US
Telephone Number	:	616-315-0506
Fax Number	:

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

Provider Enumeration Date	:	11/19/2021
Last Update Date	:	11/02/2025

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