Individual
BLANCA ALICIA GUERRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
129 CATALINA CT, KERRVILLE, TX 78028-7010
(830) 890-0467
Mailing address
129 CATALINA CT, KERRVILLE, TX 78028-7010
(830) 890-0467
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
14304
TX
101YP2500X
Professional Counselor
Primary
80877
TX
Other
Enumeration date
08/06/2020
Last updated
08/06/2020
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