OrganizationActive
Marcio Guzman
NPI 1104257807 · Adult Mental Health Clinic/Center · Fenton, MO
Provider details
- NPI number
- 1104257807
- Entity type
- Organization
- Primary specialty
- Adult Mental Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Marcio Guzman, Psychotherapist(630) 991-8315
- License
- 2013005503 (MO)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
1855 Bowles Ave
Suite 210
Fenton, MO 63026-1900
Phone: (630) 991-8315
Approximate (ZIP-level) locationGet directions
Mailing address
7746 Delmar Blvd
Saint Louis, MO 63130-3917
Registry dates
- Enumerated
- 2013-12-05
- Last updated
- 2013-12-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.