Kevin Guillen
Social Worker, Clinical in Irwindale, CA. Individual provider (NPI-1).
NPI number1316629314
StatusActive
Last updated in NPPESMar 4, 2024
Details
- NPI
- 1316629314
- Entity type
- Individual (NPI-1)
- Name
- Kevin Guillen
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 1, 2023
- Certification date
- Mar 4, 2024
- Last updated
- Mar 4, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 118816 | CA | Yes |
| 101YM0800X | Counselor, Mental Health | 118816 | CA | |
| 104100000X | Social Worker | – | – | |
| 1041C0700X | Social Worker, Clinical | – | – |
Practice location
13001 Ramona BlvdIrwindale, CA 91706-3752
Phone 626-373-2900
Mailing address
940 Avenue 64Pasadena, CA 91105-2711
Phone 323-543-2800
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