Individual
JESSICA MARIE GUTIERREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, CSAC, ICS
Contact information
Practice address
2101 LINDEN AVE APT 2, MADISON, WI 53704-5350
(608) 466-6560
Mailing address
100 RIVER PL STE 260, MONONA, WI 53716-4043
(608) 466-6560
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
15584-132
WI
1041C0700X
Clinical Social Worker
Primary
7533-123
WI
Other
Enumeration date
01/05/2009
Last updated
02/14/2025
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