Provider Demographics
NPI:1235886359
Name:JOSEPH, CHRISTINE JANEL GUERRIER (LMHC)
Entity Type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:JANEL GUERRIER
Last Name:JOSEPH
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 824672
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33082-4672
Mailing Address - Country:US
Mailing Address - Phone:754-800-8505
Mailing Address - Fax:
Practice Address - Street 1:701 SW 109TH AVE UNIT 33-302
Practice Address - Street 2:
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33025-7120
Practice Address - Country:US
Practice Address - Phone:754-800-8085
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-08
Last Update Date:2022-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL19976101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL19976OtherOUT-OF-POCKET (SELF-PAY)