Individual
GREGORY DONALD GUTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPCC
Contact information
Practice address
1601 JAY ST, SANTA FE, NM 87505
(505) 603-3866
Mailing address
1601 JAY ST, SANTA FE, NM 87505-3811
(505) 603-3866
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0192521
NM
Other
Enumeration date
12/13/2011
Last updated
05/15/2018
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