Individual
MRS. PRISCILLA MARIE GUTIERREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., LMHC
Contact information
Practice address
9741 CANDELARIA RD NE, ALBUQUERQUE, NM 87112-1401
(505) 219-3620
Mailing address
1260 MERCANTIL AVE, ANTHONY, NM 88021-8443
(915) 346-3253
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CMH0200861
NM
171M00000X
Case Manager/Care Coordinator
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Other
Enumeration date
06/17/2010
Last updated
07/08/2020
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