Individual
CORI GUEVARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1934 OLD GALLOWS RD STE 360, VIENNA, VA 22182-4040
(703) 752-6181
Mailing address
901 WASHINGTON AVE STE 100, PORTLAND, ME 04103-2842
(207) 871-1200
(207) 871-1232
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
XL5336
ME
101YP2500X
Professional Counselor
0701012547
VA
Other
Enumeration date
11/21/2019
Last updated
08/15/2023
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