Individual
JEANNETTE ALICIA GUTIERREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
10135 STONEWAY DR, EL PASO, TX 79925-6929
(915) 373-6642
Mailing address
10135 STONEWAY DR, EL PASO, TX 79925-6929
(915) 373-6642
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0136401
NM
Other
Enumeration date
01/07/2011
Last updated
03/06/2011
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