Individual
MRS. ANDREA FELICE GUZMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MFT
Contact information
Practice address
2351 CARDINAL LN, SAN DIEGO, CA 92123-3743
(619) 829-3050
Mailing address
269 AVENTURA DR, 8, CHULA VISTA, CA 91914-4470
(310) 612-2811
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
45958
CA
305R00000X
Preferred Provider Organization
45958
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00007570
—
CA
01
—
SUBB036
LA DMH PROVIDER
CA
Enumeration date
04/04/2007
Last updated
05/19/2011
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