Individual
DR. MARTIN GUTRIDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1699 S VIRGINIA ST, SUITE 203, RENO, NV 89502-2820
(775) 323-1200
(775) 323-2911
Mailing address
PO BOX 7057, RENO, NV 89510-7057
(775) 323-1200
(775) 323-2911
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
PY0085
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002616013
—
NV
Enumeration date
06/25/2006
Last updated
05/30/2012
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