Provider Demographics
NPI:1184909830
Name:GUERRA, LAURA (MSW)
Entity type:Individual
Prefix:MS
First Name:LAURA
Middle Name:
Last Name:GUERRA
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:828 W VENTURA ST STE 240
Mailing Address - Street 2:
Mailing Address - City:FILLMORE
Mailing Address - State:CA
Mailing Address - Zip Code:93015-1882
Mailing Address - Country:US
Mailing Address - Phone:805-524-8660
Mailing Address - Fax:805-524-8655
Practice Address - Street 1:828 W VENTURA ST STE 240
Practice Address - Street 2:
Practice Address - City:FILLMORE
Practice Address - State:CA
Practice Address - Zip Code:93015-1882
Practice Address - Country:US
Practice Address - Phone:805-524-8660
Practice Address - Fax:805-524-8655
Is Sole Proprietor?:No
Enumeration Date:2011-10-13
Last Update Date:2011-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA309301041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical