Individual
VINCENT MATTHEW GUTIERREZ JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1930 HOWARD RD STE 125, MADERA, CA 93637-5155
(559) 978-1042
Mailing address
613 MERIDIAN AVE, MADERA, CA 93636-8917
(559) 517-5597
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
15750
CA
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
07/13/2023
Last updated
07/07/2026
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