Provider Demographics
NPI:1083383012
Name:GUZMAN, CELINA (LPC)
Entity Type:Individual
Prefix:
First Name:CELINA
Middle Name:
Last Name:GUZMAN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7465 OLD HICKORY DR STE D
Mailing Address - Street 2:
Mailing Address - City:MECHANICSVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:23111-3621
Mailing Address - Country:US
Mailing Address - Phone:804-404-8222
Mailing Address - Fax:804-925-2574
Practice Address - Street 1:7465 OLD HICKORY DR STE D
Practice Address - Street 2:
Practice Address - City:MECHANICSVILLE
Practice Address - State:VA
Practice Address - Zip Code:23111-3621
Practice Address - Country:US
Practice Address - Phone:804-404-8222
Practice Address - Fax:804-925-2574
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-13
Last Update Date:2023-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701011740101Y00000X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty