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Individual

AVAR GUTIERREZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
705 W LA VETA AVE STE 208, ORANGE, CA 92868-4448
(714) 616-6514
Mailing address
2248 E DELIA LN, ORANGE, CA 92869-5028
(714) 616-6514

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
R1240961016
CA

Other

Enumeration date
06/26/2017
Last updated
06/26/2017
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