Individual
MAUREEN GUERRERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
1002 W 120TH ST S, JENKS, OK 74037-2863
(918) 605-1519
(918) 384-0004
Mailing address
1002 W 120TH ST S, JENKS, OK 74037-2863
(918) 605-1519
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
314
OK
101YM0800X
Mental Health Counselor
Primary
1960
OK
Other
Enumeration date
12/01/2006
Last updated
09/26/2011
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