Lavina Terese Leon Guerrero Camacho, M.S., MFT-136
Individual provider Active NPI Marriage & Family Therapist · Hagatna, GU
NPI 1871908202 · NPPES record last updated Jun 24, 2014
Key facts
- NPI
- 1871908202
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- MFT-136 (GU)
- Practice address
- 194 Hernan Cortez Avenue
Dphss Project Karinu Suite 208
Hagatna, GU 96910 - Phone
- (671) 478-5418
- NPI assigned
- Jun 24, 2014
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MFT-136 | GU | MD | Marriage & Family Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MFT-136 | GU | Yes |
Addresses
Primary practice location
194 Hernan Cortez Avenue
Dphss Project Karinu Suite 208
Hagatna, GU 96910
Mailing address
185 Nalao Place
Barrigada, GU 96913
Other providers in Hagatna, GU
- Jizan Evangelista Benavente
- Florence Sgro Blas
- Tatiana Jenine Perez Borja
- Steven Butler
- Reyna Calvo
- Nadine Taijeron Cepeda
- Dawn Lynette Copp
- Custom Fitness LLC
- Daniel A. Duenas
- Elim Pacific Ministries
All providers in Hagatna, GU · Marriage & Family Therapist in Guam
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 24, 2014. 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.