Individual
KIMBERLY GUERRERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW CSAC
Contact information
Practice address
614 2ND ST, OCONTO, WI 54153-1348
(920) 461-6995
Mailing address
614 2ND ST, OCONTO, WI 54153-1348
(920) 461-6995
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
16490-132
WI
1041C0700X
Clinical Social Worker
Primary
11637-123
WI
Other
Enumeration date
06/14/2018
Last updated
03/08/2024
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