Provider Demographics
NPI:1205539756
Name:GUERRERO, TERESA J (LICSW)
Entity type:Individual
Prefix:MRS
First Name:TERESA
Middle Name:J
Last Name:GUERRERO
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:MRS
Other - First Name:TERESA
Other - Middle Name:J
Other - Last Name:ALDACH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:715 E CENTRAL ENTRANCE
Mailing Address - Street 2:
Mailing Address - City:DULUTH
Mailing Address - State:MN
Mailing Address - Zip Code:55811-5596
Mailing Address - Country:US
Mailing Address - Phone:218-723-8153
Mailing Address - Fax:218-722-7625
Practice Address - Street 1:715 E CENTRAL ENTRANCE
Practice Address - Street 2:
Practice Address - City:DULUTH
Practice Address - State:MN
Practice Address - Zip Code:55811-5596
Practice Address - Country:US
Practice Address - Phone:218-723-8153
Practice Address - Fax:218-722-7625
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-23
Last Update Date:2023-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN129301041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical