Provider Demographics
NPI:1205230919
Name:GUARNIERI, KENYA (PHD, NCSP)
Entity Type:Individual
Prefix:DR
First Name:KENYA
Middle Name:
Last Name:GUARNIERI
Suffix:
Gender:F
Credentials:PHD, NCSP
Other - Prefix:DR
Other - First Name:KENYA
Other - Middle Name:
Other - Last Name:JONES-BROWN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHD, NCSP
Mailing Address - Street 1:4302 N 13TH ST
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98406-4204
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4302 N 13TH ST
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98406-4204
Practice Address - Country:US
Practice Address - Phone:309-648-1440
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-09
Last Update Date:2014-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool