Individual
GONZALO GUERRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
325 HOSPITAL DR STE 106, GLEN BURNIE, MD 21061-5806
(443) 430-2998
(443) 431-8978
Mailing address
325 HOSPITAL DR STE 106, GLEN BURNIE, MD 21061-5806
(443) 430-2998
(443) 431-8978
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LGP15567
MD
106S00000X
Behavior Technician
—
—
Other
Enumeration date
06/26/2019
Last updated
09/11/2024
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