Individual
TALIA NICOLE GUTIERREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6 LENOX POINTE NE, ATLANTA, GA 30324-3167
(678) 403-0112
Mailing address
2265 MARIETTA BLVD NW APT 1411, ATLANTA, GA 30318-2035
(912) 695-1226
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
GA
Other
Enumeration date
09/12/2022
Last updated
09/12/2022
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