Basic Information
| Provider Information | |||||||||
| NPI: | 1598009888 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | MCGUIRE | ||||||||
| FirstName: | LANA | ||||||||
| MiddleName: | CHRISTINE | ||||||||
| NamePrefix: | MS. | ||||||||
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| Credential: | LCSW | ||||||||
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| Mailing Information | |||||||||
| Address1: | 18 COUNTY CENTER DR | ||||||||
| Address2: | |||||||||
| City: | OROVILLE | ||||||||
| State: | CA | ||||||||
| PostalCode: | 959653335 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5305387705 | ||||||||
| FaxNumber: | 5305387852 | ||||||||
| Practice Location | |||||||||
| Address1: | 564 RIO LINDO AVE | ||||||||
| Address2: | SUITE. 203 | ||||||||
| City: | CHICO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 959261852 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5308793950 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 11/27/2012 | ||||||||
| LastUpdateDate: | 09/30/2016 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 1041C0700X | 73751 | CA | Y | Behavioral Health & Social Service Providers | Social Worker | Clinical |
No ID Information.