| Marcio Guzman | |
|
1855 Bowles Ave Suite 210 Fenton MO 63026-1900 | |
| (630) 991-8315 | |
| Not Available |
| Full Name | Marcio Guzman |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 1855 Bowles Ave, Fenton, Missouri |
| Authorized Official Name and Position | Marcio Guzman (PSYCHOTHERAPIST) |
| Authorized Official Contact | 6309918315 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Marcio Guzman 7746 Delmar Blvd Apt 1f Saint Louis MO 63130-3917 Ph: () - | Marcio Guzman 1855 Bowles Ave Suite 210 Fenton MO 63026-1900 Ph: (630) 991-8315 |
| NPI Number | 1104257807 |
|---|---|
| Provider Enumeration Date | 12/05/2013 |
| Last Update Date | 12/05/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104257807 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | 2013005503 (Missouri) | Primary |
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