Individual
ALICIA GUZMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12 METHUEN ST, LAWRENCE, MA 01840-1700
(978) 620-1250
(978) 682-9333
Mailing address
12 METHUEN ST, LAWRENCE, MA 01840-1700
(978) 620-1250
(978) 682-9333
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1154302586
MEDICAID
MA
Enumeration date
04/17/2016
Last updated
04/17/2016
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