Provider Demographics
NPI:1245491901
Name:GUZMAN, EMILY N (LPC)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:N
Last Name:GUZMAN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:136 EAST CHAPEL HILL ST.
Mailing Address - Street 2:EL FUTURO
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27701
Mailing Address - Country:US
Mailing Address - Phone:919-688-7101
Mailing Address - Fax:919-688-7102
Practice Address - Street 1:136 E CHAPEL HILL ST
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27701-3202
Practice Address - Country:US
Practice Address - Phone:919-338-1939
Practice Address - Fax:919-338-2729
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-24
Last Update Date:2009-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC7006101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6103913Medicaid
NC6103913Medicaid