Ricardo Guadarrama Jr., LMHCA
Individual provider Active NPI Mental Health Counselor · Elma, WA
NPI 1194517441 · NPPES record last updated May 21, 2025
Key facts
- NPI
- 1194517441
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- MC61680390 (WA)
- Practice address
- 332 Mox Chehalis Rd
Elma, WA 98541-9238 - Phone
- (714) 673-0959
- NPI assigned
- May 21, 2025
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MC61680390 | WA | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MC61680390 | WA | Yes |
Addresses
Primary practice location
332 Mox Chehalis Rd
Elma, WA 98541-9238
Mailing address
332 Mox Chehalis Rd
Elma, WA 98541-9238
Phone (714) 673-0959
Other providers in Elma, WA
- Grays Harbor County Public Hospital District No 1 Health Homes
- Grays Harbor County Public Hospital District No. 1
- Grays Harbor County Public Hospital District No. 1
- Grays Harbor Public Hospital District No 1
- Thomas Andrew Griffith
- Brandy L Hahn
- Gregory Hannabas
- James Emmett Hansen
- Elizabeth Harrington
- Marc Hartung
All providers in Elma, WA · Mental Health Counselor in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 21, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.