Individual
JUAN JOSE GUTIERREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11741 TELEGRAPH RD, SANTA FE SPRINGS, CA 90670-3681
(323) 588-0255
Mailing address
3747 E 54TH ST, MAYWOOD, CA 90270-2121
(213) 400-9164
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
63064
CA
101YM0800X
Mental Health Counselor
ASW97254
CA
104100000X
Social Worker
Primary
ASW97254
CA
225400000X
Rehabilitation Practitioner
—
CA
Other
Enumeration date
10/03/2014
Last updated
07/17/2023
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