Provider Demographics
NPI:1164069589
Name:GUERRERO, ROBERTO III (LPC)
Entity Type:Individual
Prefix:MR
First Name:ROBERTO
Middle Name:
Last Name:GUERRERO
Suffix:III
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1647 VZ COUNTY ROAD 3908
Mailing Address - Street 2:
Mailing Address - City:WILLS POINT
Mailing Address - State:TX
Mailing Address - Zip Code:75169-8125
Mailing Address - Country:US
Mailing Address - Phone:972-658-8117
Mailing Address - Fax:
Practice Address - Street 1:1647 VZ COUNTY ROAD 3908
Practice Address - Street 2:
Practice Address - City:WILLS POINT
Practice Address - State:TX
Practice Address - Zip Code:75169-8125
Practice Address - Country:US
Practice Address - Phone:972-658-8117
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-12-04
Last Update Date:2023-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX79242101YP2500X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
NONEOtherNONE