Individual
JENNIFER GUTIERREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1620 CUMMINS DR, MODESTO, CA 95358-6400
(209) 576-1750
Mailing address
1620 CUMMINS DR, MODESTO, CA 95358-6400
(209) 576-1750
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
119661
CA
101YP2500X
Professional Counselor
—
—
Other
Enumeration date
11/03/2023
Last updated
01/16/2024
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