Provider Demographics
NPI:1467627646
Name:GUARIGUATA, DEBORAH (LCSW-ACP)
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:
Last Name:GUARIGUATA
Suffix:
Gender:F
Credentials:LCSW-ACP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1015 BEECAVE WOODS DR
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78746-6762
Mailing Address - Country:US
Mailing Address - Phone:512-328-3379
Mailing Address - Fax:512-328-1747
Practice Address - Street 1:1015 BEECAVE WOODS DR
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78746-6762
Practice Address - Country:US
Practice Address - Phone:512-328-3379
Practice Address - Fax:512-328-1747
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-28
Last Update Date:2008-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX106391041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical