Guillory, Christian

Guillory, Christian is an individual health care provider with primary practice located at 12755 N Highway 88 , Lodi CA 95240-9323. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Student, Health Care / Student in an Organized Health Care Education/Training Program. Student, Health Care / Student in an Organized Health Care Education/Training Program is her primary health care specialty. Guillory, Christian can be contacted via phone (209) 340-5820.

Contact Information

Primary practice address
12755 N Highway 88 Lodi CA 95240-9323
Phone: (209) 340-5820
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1821548173
LBN Legal business name Guillory, Christian
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 2016
Last updated Oct 11th, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821548173 NPPES
California MEDICAID 1861551715

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