Provider Demographics
NPI:1598347478
Name:GUERRA, LAURA (LPC-A)
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:
Last Name:GUERRA
Suffix:
Gender:F
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 1:1115 CARDINAL AVE
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77478-3431
Mailing Address - Country:US
Mailing Address - Phone:832-287-4153
Mailing Address - Fax:
Practice Address - Street 1:1035 DAIRY ASHFORD RD STE 220
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77079-4600
Practice Address - Country:US
Practice Address - Phone:713-364-8645
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-21
Last Update Date:2021-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
TX85436101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health