Individual
MR. ANTONIO GUTIERREZ JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
709 MISSION ST, SANTA CRUZ, CA 95060-3614
(831) 425-0772
Mailing address
709 MISSION ST, SANTA CRUZ, CA 95060-3614
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/15/2012
Last updated
11/15/2012
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