Provider Demographics
NPI:1508599184
Name:GUERRERO, JOHN PAUL (LPC-A)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:PAUL
Last Name:GUERRERO
Suffix:
Gender:M
Credentials:LPC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:503 JO LYNN DR
Mailing Address - Street 2:
Mailing Address - City:JUNCTION
Mailing Address - State:TX
Mailing Address - Zip Code:76849-3314
Mailing Address - Country:US
Mailing Address - Phone:325-257-7059
Mailing Address - Fax:
Practice Address - Street 1:1003 COLLEGE ST
Practice Address - Street 2:
Practice Address - City:JUNCTION
Practice Address - State:TX
Practice Address - Zip Code:76849-4632
Practice Address - Country:US
Practice Address - Phone:325-446-3999
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-01
Last Update Date:2022-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX89151101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional