# JESSIE GUTIERREZ CLINICAL THERAPY SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053886499
- **Authorized official:** JESSIE GUTIERREZ LCSW, LMHP (OWNER/CLINICAL THERAPIST)
- **Authorized official phone:** (402) 830-2819

## Contact information

- **Practice address:** 10824 OLD MILL RD STE 10-10, OMAHA, NE 68154-2642
- **Practice address phone:** (402) 830-2819
- **Mailing address:** 10824 OLD MILL RD STE 10-10, OMAHA, NE 68154-2642
- **Mailing address phone:** (402) 830-2819

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 10/12/2018
- **Last updated:** 10/12/2018