Individual
MRS. CARMEN VIVEROS GUTIERREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.S.
Contact information
Practice address
7175 NORTH FIRST STREET, SUITE 101, FRESNO, CA 93720
(559) 221-8100
Mailing address
7175 NORTH FIRST STREET SUITE 101, FRESNO, CA 93720
(559) 221-8100
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
12/09/2014
Last updated
12/09/2014
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