Provider Demographics
NPI:1609620780
Name:GUERRIER, VANESSA
Entity Type:Individual
Prefix:
First Name:VANESSA
Middle Name:
Last Name:GUERRIER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:VANESSA
Other - Middle Name:
Other - Last Name:GUERRIER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:VANESSA GUERRIER LPC
Mailing Address - Street 1:2727 SKYVIEW DR UNIT 209
Mailing Address - Street 2:
Mailing Address - City:LITHIA SPRINGS
Mailing Address - State:GA
Mailing Address - Zip Code:30122-5001
Mailing Address - Country:US
Mailing Address - Phone:516-554-6432
Mailing Address - Fax:
Practice Address - Street 1:2727 SKYVIEW DR UNIT 209
Practice Address - Street 2:
Practice Address - City:LITHIA SPRINGS
Practice Address - State:GA
Practice Address - Zip Code:30122-5001
Practice Address - Country:US
Practice Address - Phone:516-554-6432
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-15
Last Update Date:2024-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC013652101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional