Provider Demographics
NPI:1205211752
Name:GUERRIERO, BRIAN (LPCC-S)
Entity Type:Individual
Prefix:
First Name:BRIAN
Middle Name:
Last Name:GUERRIERO
Suffix:
Gender:M
Credentials:LPCC-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1100 E MAIN CROSS ST STE 155
Mailing Address - Street 2:
Mailing Address - City:FINDLAY
Mailing Address - State:OH
Mailing Address - Zip Code:45840-6381
Mailing Address - Country:US
Mailing Address - Phone:567-301-2037
Mailing Address - Fax:
Practice Address - Street 1:1100 E MAIN CROSS ST STE 155
Practice Address - Street 2:
Practice Address - City:FINDLAY
Practice Address - State:OH
Practice Address - Zip Code:45840-6381
Practice Address - Country:US
Practice Address - Phone:567-301-2037
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-27
Last Update Date:2023-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE.1800650-SUPV101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0275904Medicaid