Provider Demographics
NPI:1982942884
Name:GUZMAN-KUFFEL, JOEY (MA)
Entity Type:Individual
Prefix:
First Name:JOEY
Middle Name:
Last Name:GUZMAN-KUFFEL
Suffix:
Gender:M
Credentials:MA
Other - Prefix:
Other - First Name:JOE
Other - Middle Name:
Other - Last Name:GUZMAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LMFT
Mailing Address - Street 1:PO BOX 882415
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92168-2415
Mailing Address - Country:US
Mailing Address - Phone:619-363-5677
Mailing Address - Fax:
Practice Address - Street 1:4565 RUFFNER ST STE 110
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92111-2258
Practice Address - Country:US
Practice Address - Phone:619-363-5677
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-28
Last Update Date:2020-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA116756106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist