Individual
JAKE GUTIERREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2610 W HORIZON RIDGE PKWY STE 100, HENDERSON, NV 89052-2870
(702) 830-9619
Mailing address
3060 MISTY MOON AVE, HENDERSON, NV 89052-3063
(702) 427-1044
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MI4295
NV
Other
Enumeration date
12/06/2023
Last updated
12/06/2023
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