Individual
JAIMIE GUTIERREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC-A
Contact information
Practice address
2756 POST RD, WARWICK, RI 02886-3077
(401) 691-6000
Mailing address
47 PHENIX AVE, WEST WARWICK, RI 02893-4313
(954) 999-3429
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CDP01010
RI
101YM0800X
Mental Health Counselor
Primary
MCH00060-A
RI
Other
Enumeration date
04/26/2024
Last updated
07/10/2025
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