Individual
CONSUELO M. GUTIEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, LICSW
Contact information
Practice address
304 GRAND AVE, BILLINGS, MT 59101-5923
(406) 890-4016
(406) 245-2441
Mailing address
3875 COON RAPIDS BLVD NW, COON RAPIDS, MN 55433-2518
(406) 890-4016
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
28860
MN
1041C0700X
Clinical Social Worker
Primary
BBH-LCSW-LIC-22660
MT
Other
Enumeration date
01/11/2017
Last updated
09/12/2020
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