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Individual
KEVIN GUILLEN
Active
Individual
KEVIN GUILLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
118816
CA
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
118816
CA
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
08/01/2023
Last updated
03/04/2024
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