Individual
ANTHONY DIONICIO GUTIERREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1222 MONACO CT, #28, STOCKTON, CA 95207-6742
(209) 644-6328
(209) 644-6308
Mailing address
1222 MONACO CT, #28, STOCKTON, CA 95207-6742
(209) 644-6328
(209) 644-6308
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
12/30/2015
Last updated
12/30/2015
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