Individual
ANGELICA JASMINE GUTIERREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10936 DALE AVE, STANTON, CA 90680-2724
(714) 952-4032
Mailing address
10936 DALE AVE, STANTON, CA 90680-2724
(714) 952-4032
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
R1239661216
CA
Other
Enumeration date
07/25/2019
Last updated
07/25/2019
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