Individual provider · Type 1 NPI

Genesis Guillen

Mental Health Counselor · Moorpark, CA

NPI number 1205500444 Active

Practice location

5297 Maureen Ln
Moorpark, CA 93021-7125

Mailing address

PO Box 1372
Simi Valley, CA 93062-1372

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700X100605 (CA)
Mental Health Counselor Primary 101YM0800X100605 (CA)

Mental Health Counselor: Definition to come...

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About NPI 1205500444

Genesis Guillen's National Provider Identifier is 1205500444, issued on Aug 2, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Moorpark, CA. The record was last updated on Aug 12, 2025.