Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YM0800X | Mental Health Counselor | ||
Y | 1041C0700X | Clinical Social Worker | LCSW89025 | CA |
NPI | 1003140476 |
---|---|
Provider Name | Linda Garcia Guerrero |
First Address | Long Beach, CA 90807-4569 |
Second Address | Long Beach, CA 90807-4569 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/10/2009 |
Last Update Date | 01/07/2019 |