Individual
CAROLE-JERIE MONIQUE GUAJARDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3660 FAIRMOUNT AVE, SAN DIEGO, CA 92105-3422
(619) 521-2250
(619) 521-5944
Mailing address
2085 RUSTIN AVE, RIVERSIDE, CA 92507
(951) 715-5040
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/16/2011
Last updated
07/20/2017
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