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Individual

MRS. PAM SUE GUTIERREZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
9644 BUCKINGHAM ST, WHITE LAKE, MI 48386-1527
(248) 613-5032
Mailing address
9644 BUCKINGHAM ST, WHITE LAKE, MI 48386-1527
(248) 613-5032

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401006501
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1134681356
NPI
MI
Enumeration date
04/05/2019
Last updated
12/27/2025
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