Provider Demographics
NPI:1518744374
Name:GUEVARA, VALERIE (NBC-HWC)
Entity Type:Individual
Prefix:
First Name:VALERIE
Middle Name:
Last Name:GUEVARA
Suffix:
Gender:F
Credentials:NBC-HWC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:419 WSW LOOP 323 STE 400
Mailing Address - Street 2:
Mailing Address - City:TYLER
Mailing Address - State:TX
Mailing Address - Zip Code:75701-7063
Mailing Address - Country:US
Mailing Address - Phone:903-595-8077
Mailing Address - Fax:903-363-1541
Practice Address - Street 1:419 WSW LOOP 323 STE 400
Practice Address - Street 2:
Practice Address - City:TYLER
Practice Address - State:TX
Practice Address - Zip Code:75701-7063
Practice Address - Country:US
Practice Address - Phone:903-595-8077
Practice Address - Fax:903-363-1541
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-13
Last Update Date:2023-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach