Provider Demographics
NPI:1316700388
Name:GUERRA, KAYLA MARIE (LPC)
Entity type:Individual
Prefix:
First Name:KAYLA
Middle Name:MARIE
Last Name:GUERRA
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:114 VILLARREAL ST
Mailing Address - Street 2:
Mailing Address - City:EDINBURG
Mailing Address - State:TX
Mailing Address - Zip Code:78542-4170
Mailing Address - Country:US
Mailing Address - Phone:956-534-6594
Mailing Address - Fax:
Practice Address - Street 1:114 VILLARREAL ST
Practice Address - Street 2:
Practice Address - City:EDINBURG
Practice Address - State:TX
Practice Address - Zip Code:78542-4170
Practice Address - Country:US
Practice Address - Phone:956-534-6594
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-02
Last Update Date:2024-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX85819101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional