MEDICARE: SARA JUNIETH GUEVARA 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	LMFT142042	CA

General Provider Information

NPI Number	:	1710302476
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARA JUNIETH GUEVARA LMFT

Provider Business Mailing Address
First Line	:	2958 E FLORENCE AVE
Second Line	:
City	:	HUNTINGTON PARK
State	:	CA
Zip	:	90255-5826
Country	:	US
Telephone Number	:	562-754-2680
Fax Number	:

Provider Business Practice Location Address
First Line	:	2958 E FLORENCE AVE
Second Line	:
City	:	HUNTINGTON PARK
State	:	CA
Zip	:	90255-5826
Country	:	US
Telephone Number	:	562-754-2680
Fax Number	:

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

Provider Enumeration Date	:	03/04/2014
Last Update Date	:	09/18/2025

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