Individual
JESSIE PILAR GUTIERREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, LMHP
Contact information
Practice address
10824 OLD MILL RD STE 10-10, OMAHA, NE 68154-2642
(402) 830-2819
Mailing address
10824 OLD MILL RD STE 10-10, OMAHA, NE 68154-2642
(402) 830-2819
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
4926
NE
1041C0700X
Clinical Social Worker
1694
NE
Other
Enumeration date
10/03/2018
Last updated
10/03/2018
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