Provider Demographics
NPI:1558550020
Name:GUERRIERI, INGRID BONILLA (LMFT)
Entity Type:Individual
Prefix:
First Name:INGRID
Middle Name:BONILLA
Last Name:GUERRIERI
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1232 RIVER GLEN ROW UNIT 60
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92111-7418
Mailing Address - Country:US
Mailing Address - Phone:858-964-8361
Mailing Address - Fax:
Practice Address - Street 1:1232 RIVER GLEN ROW UNIT 60
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92111-7418
Practice Address - Country:US
Practice Address - Phone:858-964-8361
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-19
Last Update Date:2022-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAIMF76095106H00000X
CA97169106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist