Individual
AZUCENA R GUTIERREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12595 SW 137TH AVE STE 110, MIAMI, FL 33186-4218
(305) 465-9379
(305) 203-4672
Mailing address
4596 SW 174TH AVE, MIRAMAR, FL 33029-5618
(754) 281-3662
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH23989
FL
Other
Enumeration date
08/12/2024
Last updated
08/12/2024
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