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Individual

AMANDA CLARISSA GUTIERREZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
B.A PSYCH

Contact information

Practice address
5190 ATLANTIC AVE, LONG BEACH, CA 90805-6510
(818) 996-1051
Mailing address
1209 N LYMAN AVE APT 106, COVINA, CA 91724-1862
(233) 218-3095

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CA

Other

Enumeration date
09/07/2021
Last updated
09/07/2021
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