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Marcio Guzman
Adult Mental Health Clinic/Center in Fenton, Missouri
NPI 1104257807

Marcio Guzman is an Adult Mental Health Clinic/Center based in Saint Louis, MO and is specialized in Adult Mental Health. Marcio Guzman practices in Fenton, MO. The NPI Number for Marcio Guzman is 1104257807 and holds a License No. 2013005503 (Missouri).

The current practice location address for Marcio Guzman is 1855 Bowles Ave, Fenton, MO and can be reached out via phone at 630-991-8315.

Location: 1855 Bowles Ave, Fenton, MO, 63130-3917
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1104257807
Provider Name
Marcio Guzman
Credential
Provider Entity Type
Organization
Address
1855 Bowles Ave, Fenton, MO, 63130-3917
Phone Number
630-991-8315
Fax Number
Provider Enumeration Date
12/05/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1855 Bowles Ave
City
Fenton
State
Missouri
Zip
63026-1900
Phone Number
630-991-8315
Fax Number
person
Provider Business Mailing Address Details
Address
1855 Bowles Ave
City
Fenton
State
Missouri
Zip
63026-1900
Phone Number
630-991-8315
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
2013005503 (Missouri)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
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