Organization
MARY THERESE GUTIERREZ
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY T GUTIERREZ (OWNER)
(575) 640-9404
Entity
Organization
Contact information
Practice address
5232 SINGER RD, LAS CRUCES, NM 88007-5566
(575) 640-9404
Mailing address
5232 SINGER RD, LAS CRUCES, NM 88007-5566
(575) 640-9404
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
0144311
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
18953786
—
NM
Enumeration date
09/16/2014
Last updated
09/16/2014
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