Provider Demographics
NPI:1952080061
Name:GUERRERO, DIANA M (LMFT)
Entity Type:Individual
Prefix:MS
First Name:DIANA
Middle Name:M
Last Name:GUERRERO
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1168 HARRIS AVE
Mailing Address - Street 2:
Mailing Address - City:CAMARILLO
Mailing Address - State:CA
Mailing Address - Zip Code:93010-2921
Mailing Address - Country:US
Mailing Address - Phone:805-208-3217
Mailing Address - Fax:
Practice Address - Street 1:1168 HARRIS AVE
Practice Address - Street 2:
Practice Address - City:CAMARILLO
Practice Address - State:CA
Practice Address - Zip Code:93010-2921
Practice Address - Country:US
Practice Address - Phone:805-383-0886
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-17
Last Update Date:2023-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95712106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist