Provider Demographics
NPI:1740432939
Name:LEON GUERRERO, DORIS LG (MSWMPH IMFT)
Entity Type:Individual
Prefix:MRS
First Name:DORIS
Middle Name:LG
Last Name:LEON GUERRERO
Suffix:
Gender:F
Credentials:MSWMPH IMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2300
Mailing Address - Street 2:
Mailing Address - City:HAGATNA
Mailing Address - State:GU
Mailing Address - Zip Code:96932-2300
Mailing Address - Country:US
Mailing Address - Phone:671-472-2738
Mailing Address - Fax:
Practice Address - Street 1:CHALAN SANTO PAPA
Practice Address - Street 2:REFLECTION CENTER SUITE 205
Practice Address - City:HAGATNA
Practice Address - State:GU
Practice Address - Zip Code:96910
Practice Address - Country:US
Practice Address - Phone:671-898-1853
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-21
Last Update Date:2008-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GUIMF0098106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist