Provider Demographics
NPI:1255916474
Name:GUERRERO, DURRIYYAH MARIE (BSW)
Entity type:Individual
Prefix:MRS
First Name:DURRIYYAH
Middle Name:MARIE
Last Name:GUERRERO
Suffix:
Gender:F
Credentials:BSW
Other - Prefix:MS
Other - First Name:DURRIYYAH
Other - Middle Name:MARIE
Other - Last Name:STAPLES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BSW
Mailing Address - Street 1:2101 CRAWFORD ST STE 208
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77002-8941
Mailing Address - Country:US
Mailing Address - Phone:832-345-7045
Mailing Address - Fax:
Practice Address - Street 1:2101 CRAWFORD ST STE 208
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77002-8941
Practice Address - Country:US
Practice Address - Phone:832-345-7045
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-10
Last Update Date:2021-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health