Individual
MRS. DORI TAYLOR GUTERSON
Active
Individual
MRS. DORI TAYLOR GUTERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW, MHP, CMHS
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
LW00009392
NM
101YM0800X
Mental Health Counselor
LW00009392
WA
101YP2500X
Professional Counselor
LW00009392
WA
1041C0700X
Clinical Social Worker
LW00009392
WA
1041C0700X
Clinical Social Worker
Primary
—
—
106H00000X
Marriage & Family Therapist
LW00009392
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13558962
CAQH
—
05
—
2039295
—
WA
01
—
LW00009392
WA DEPT. OF HEALTH
WA
Enumeration date
08/10/2007
Last updated
11/10/2021
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