Provider Demographics
NPI:1669161949
Name:MICHAEL GUICHET, LICENSED MARRIAGE & FAMILY THERAPIST A PROFESSIONAL C
Entity type:Organization
Organization Name:MICHAEL GUICHET, LICENSED MARRIAGE & FAMILY THERAPIST A PROFESSIONAL C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:GUICHET
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LMFT
Authorized Official - Phone:714-697-3170
Mailing Address - Street 1:215 RESERVATION RD.
Mailing Address - Street 2:SUITE O, PMB #145
Mailing Address - City:MARINA
Mailing Address - State:CA
Mailing Address - Zip Code:93933-3059
Mailing Address - Country:US
Mailing Address - Phone:831-221-0088
Mailing Address - Fax:831-295-6700
Practice Address - Street 1:191 LIGHTHOUSE AVE STE A5
Practice Address - Street 2:
Practice Address - City:MONTEREY
Practice Address - State:CA
Practice Address - Zip Code:93940-1704
Practice Address - Country:US
Practice Address - Phone:831-221-0088
Practice Address - Fax:831-295-6700
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-03
Last Update Date:2023-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)