Provider Demographics
NPI:1598214868
Name:GUZIAK, CARA COBOS (MS, LPC, NCC, BCN)
Entity Type:Individual
Prefix:
First Name:CARA
Middle Name:COBOS
Last Name:GUZIAK
Suffix:
Gender:F
Credentials:MS, LPC, NCC, BCN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:209 TRAVIS ST
Mailing Address - Street 2:SUITE 102
Mailing Address - City:ROANOKE
Mailing Address - State:TX
Mailing Address - Zip Code:76262-8603
Mailing Address - Country:US
Mailing Address - Phone:817-437-4505
Mailing Address - Fax:
Practice Address - Street 1:209 TRAVIS ST
Practice Address - Street 2:SUITE 102
Practice Address - City:ROANOKE
Practice Address - State:TX
Practice Address - Zip Code:76262-8603
Practice Address - Country:US
Practice Address - Phone:817-437-4505
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-28
Last Update Date:2017-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX73638101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health