Individual
CARLY JEAN GUTIERREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 W NICHOLAI ST UNIT 2, HICKSVILLE, NY 11801-3887
(516) 788-7258
Mailing address
117 DARE CT, BROOKLYN, NY 11229-6386
(646) 280-6500
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
D010069
NY
Other
Enumeration date
04/25/2018
Last updated
10/23/2025
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