Individual
LISSETTE DARICE GUTIERREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
510 S VERMONT AVE, LOS ANGELES, CA 90020-1912
(213) 947-6932
Mailing address
1232 FIELDGATE AVE, HACIENDA HEIGHTS, CA 91745-2313
(323) 476-5966
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
08/02/2017
Last updated
07/09/2025
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