Provider Demographics
NPI:1851015929
Name:MCGUIRE, DARYL KENYATTA (MHT)
Entity Type:Individual
Prefix:MR
First Name:DARYL
Middle Name:KENYATTA
Last Name:MCGUIRE
Suffix:
Gender:M
Credentials:MHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8044 83RD AVE SW APT E13
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98498-6053
Mailing Address - Country:US
Mailing Address - Phone:360-878-3720
Mailing Address - Fax:
Practice Address - Street 1:8044 83RD AVE SW APT E13
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:WA
Practice Address - Zip Code:98498-6053
Practice Address - Country:US
Practice Address - Phone:360-878-3720
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-03
Last Update Date:2022-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health