Individual
KEIRA ELIZABETH GUTIERREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SUDPT
Contact information
Practice address
1445 SPAULDING AVE, RICHLAND, WA 99352-4715
(541) 322-1794
Mailing address
1445 SPAULDING AVE, RICHLAND, WA 99352-4715
(541) 322-1794
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO61628744
WA
Other
Enumeration date
12/27/2024
Last updated
12/27/2024
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