MEDICARE: ALLISON DOUGLAS GUERRERO LPC

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	101YP2500X	Professional Counselor

General Provider Information

NPI Number	:	1689016404
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALLISON DOUGLAS GUERRERO LPC

Provider Business Mailing Address
First Line	:	8972 FOX DR UNIT 101
Second Line	:
City	:	THORNTON
State	:	CO
Zip	:	80260-8828
Country	:	US
Telephone Number	:	719-684-3558
Fax Number	:	720-306-5192

Provider Business Practice Location Address
First Line	:	80 GARDEN CTR STE 150
Second Line	:
City	:	BROOMFIELD
State	:	CO
Zip	:	80020-1790
Country	:	US
Telephone Number	:	720-487-5300
Fax Number	:

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

Provider Enumeration Date	:	07/22/2013
Last Update Date	:	10/08/2019

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