Individual
TESSA GUTIERREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSCSW, LCAC
Contact information
Practice address
929 S WASHINGTON ST., JUNCTION CITY, KS 66441
(785) 802-9024
Mailing address
929 S WASHINGTON ST., JUNCTION CITY, KS 66441
(785) 802-9024
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
524
KS
1041C0700X
Clinical Social Worker
Primary
4207
KS
Other
Enumeration date
06/17/2010
Last updated
08/25/2020
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