Provider Demographics
NPI:1689477424
Name:GUZMAN, MARTHA HERLINDA (ASSOCIATED COUNSELOR)
Entity type:Individual
Prefix:MS
First Name:MARTHA
Middle Name:HERLINDA
Last Name:GUZMAN
Suffix:
Gender:
Credentials:ASSOCIATED COUNSELOR
Other - Prefix:
Other - First Name:MARTHA
Other - Middle Name:HERLINDA
Other - Last Name:MORA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 151
Mailing Address - Street 2:
Mailing Address - City:TOPPENISH
Mailing Address - State:WA
Mailing Address - Zip Code:98948-0151
Mailing Address - Country:US
Mailing Address - Phone:509-865-5121
Mailing Address - Fax:509-984-3793
Practice Address - Street 1:511 S ELM ST
Practice Address - Street 2:
Practice Address - City:TOPPENISH
Practice Address - State:WA
Practice Address - Zip Code:98948-1651
Practice Address - Country:US
Practice Address - Phone:509-865-5121
Practice Address - Fax:509-984-3793
Is Sole Proprietor?:No
Enumeration Date:2025-03-28
Last Update Date:2025-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA1366634552Medicaid