Individual
MR. RAYMOND JOHN GUERRA JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4800 COLLEGE ST SE, LACEY, WA 98503-4389
(360) 456-7575
Mailing address
1705 36TH CT SE, OLYMPIA, WA 98501-4233
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
61403028
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
61403028
WA STATE DEPARTMENT OF HEALTH
WA
Enumeration date
02/23/2023
Last updated
02/23/2023
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