# MR. JOSE LUIS GUERRA

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1568692721
- **Gender:** Man
- **Credential:** LMHC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YP2500X | Professional Counselor | — | NULL | — |
| 103T00000X | Psychologist | — | NULL | — |
| 103TC1900X | Counseling Psychologist | — | NULL | — |
| 103TE1100X | Exercise & Sports Psychologist | — | NULL | — |
| 106H00000X | Marriage & Family Therapist | — | NULL | — |

## Other

- **Enumeration date:** 07/22/2009
- **Last updated:** 04/05/2011