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Individual

AMBER JENNESA GUTIERREZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSW

Contact information

Practice address
5740 RALSTON ST, SUITE 201, VENTURA, CA 93003
(805) 394-8533
Mailing address
5740 RALSTON ST STE 201, VENTURA, CA 93003-6571

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
86577
CA
104100000X
Social Worker
Primary
86577
CA
1041C0700X
Clinical Social Worker

Other

Enumeration date
11/06/2018
Last updated
11/08/2023
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