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Individual
TERESA MARIE GUAJARDO
Active
Individual
TERESA MARIE GUAJARDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LMP, LMHC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LH60173201
WA
225700000X
Massage Therapist
MA00015038
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0151447
LABOR AND INDUSTRIES
WA
01
—
2950925
COMMUNITY HEALTH PLAN OF
WA
01
—
8943959
CRIME VICTIMS COMPENSATIO
WA
01
—
9841519
CRIME VICTIMS COMPENSATIO
WA
Enumeration date
02/13/2008
Last updated
12/16/2010
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