Individual
JANETH GUTIERREZ-VAZQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
246 N MISSION ST, WENATCHEE, WA 98801-2004
(509) 293-8116
Mailing address
21600 OXNARD ST STE 1800, WOODLAND HILLS, CA 91367-7807
(818) 345-2345
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO60574109
WA
106S00000X
Behavior Technician
—
WA
Other
Enumeration date
02/15/2016
Last updated
04/29/2019
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