Provider Demographics
NPI:1538493432
Name:GUARINO, MICHELLE
Entity Type:Individual
Prefix:MISS
First Name:MICHELLE
Middle Name:
Last Name:GUARINO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:664 STEVENS RD
Mailing Address - Street 2:MEADOWRIDGE
Mailing Address - City:SWANSEA
Mailing Address - State:MA
Mailing Address - Zip Code:02777-4701
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:664 STEVENS RD
Practice Address - Street 2:MEADOWRIDGE
Practice Address - City:SWANSEA
Practice Address - State:MA
Practice Address - Zip Code:02777-4701
Practice Address - Country:US
Practice Address - Phone:508-677-0304
Practice Address - Fax:508-678-9059
Is Sole Proprietor?:No
Enumeration Date:2009-09-24
Last Update Date:2009-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health