Individual
KIA KIM GUTIERREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1806 SPRINGFIELD PL NE, OLYMPIA, WA 98506-5286
(360) 520-2583
Mailing address
1806 SPRINGFIELD PL NE, OLYMPIA, WA 98506-5286
(360) 520-2583
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
61466603
WA
Other
Enumeration date
08/23/2023
Last updated
08/23/2023
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