Individual
KIRSIS HERNANDEZ-GUZMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSWA
Contact information
Practice address
1037 BULLARD CT, SUITE 208, RALEIGH, NC 27615-6871
(919) 877-6101
Mailing address
6621 ROCKGLEN WAY, 206, RALEIGH, NC 27615-7561
(616) 706-1424
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCAS-23178
NC
1041C0700X
Clinical Social Worker
P009143
NC
Other
Enumeration date
11/16/2006
Last updated
08/02/2017
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