Provider Demographics
NPI:1881453827
Name:GUILLORY, ALBERT FRANCIS
Entity type:Individual
Prefix:
First Name:ALBERT
Middle Name:FRANCIS
Last Name:GUILLORY
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9432 S HOBART BLVD
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90047-3824
Mailing Address - Country:US
Mailing Address - Phone:323-384-1471
Mailing Address - Fax:
Practice Address - Street 1:9432 S HOBART BLVD
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90047-3824
Practice Address - Country:US
Practice Address - Phone:323-384-1471
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-13
Last Update Date:2024-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health