Marcos Guillen, CHEMICAL DEPENDENCY

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

C052380518 Issued in CA

Practice address

1317 Del Norte Rd Ste 209
Camarillo, CA 93010-8485

Phone

(805) 991-7561

NPI assigned

Jul 13, 2018

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Marcos Guillen Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1531440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531440000000",
    "number": "1386120210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1317 DEL NORTE RD STE 200",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930108368",
            "telephone_number": "805-991-7561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1317 DEL NORTE RD STE 209",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930108485",
            "telephone_number": "805-991-7561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUILLEN",
        "first_name": "MARCOS",
        "credential": "CHEMICAL DEPENDENCY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-13",
        "last_updated": "2018-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "C052380518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARCOS",
            "last_name": "GUILLEN",
            "credential": "CDC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Diana M Guerrero, LMFT
• Jason Guerrero
• Virginia Guerrero
• Brianne Guevara, CPNP-AC/PC
• Yuridia Aime Guevara
• Jennifer Ann Guintu
• Pariksha Gunnala, DDS
• Laura Linda Gutierrez Woolridge, LCSW LCS 25679
• Angelina Renae Gutierrez
• David John Gutierrez, LVN

• Addiction (Substance Use Disorder) Counselor in Camarillo, CA
• Providers in Camarillo, CA by specialty
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.