Provider Demographics
NPI:1962299016
Name:SERNA, ELIZABETH GUERRERO
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:GUERRERO
Last Name:SERNA
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:141 N K ST
Mailing Address - Street 2:
Mailing Address - City:TULARE
Mailing Address - State:CA
Mailing Address - Zip Code:93274-4003
Mailing Address - Country:US
Mailing Address - Phone:559-393-5082
Mailing Address - Fax:
Practice Address - Street 1:141 N K ST
Practice Address - Street 2:
Practice Address - City:TULARE
Practice Address - State:CA
Practice Address - Zip Code:93274-4003
Practice Address - Country:US
Practice Address - Phone:559-393-5082
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-22
Last Update Date:2025-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker