Individual
IBIS GUERRERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, LADC
Contact information
Practice address
4749 MAIN ST, BRIDGEPORT, CT 06606-1805
(475) 332-2176
(203) 296-1300
Mailing address
PO BOX 110107, TRUMBULL, CT 06611-0107
(203) 751-2216
(203) 220-8430
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
001246
CT
1041C0700X
Clinical Social Worker
Primary
58.015954
CT
Other
Enumeration date
02/10/2022
Last updated
05/15/2026
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