Provider Demographics
NPI:1467005280
Name:GUERIN, SUZANNE LEMERE (EDSMED,LPCC, NCC)
Entity Type:Individual
Prefix:MS
First Name:SUZANNE
Middle Name:LEMERE
Last Name:GUERIN
Suffix:
Gender:F
Credentials:EDSMED,LPCC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2411 PRESERVATION WAY
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:KY
Mailing Address - Zip Code:41042-7854
Mailing Address - Country:US
Mailing Address - Phone:859-816-4998
Mailing Address - Fax:
Practice Address - Street 1:7000 HOUSTON RD STE 15
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:KY
Practice Address - Zip Code:41042-4882
Practice Address - Country:US
Practice Address - Phone:859-816-4998
Practice Address - Fax:859-746-1496
Is Sole Proprietor?:No
Enumeration Date:2019-07-21
Last Update Date:2019-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY245820101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional