Individual
ANTOINETTE GUTIERREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
724 N. BEN MADDOX WAY, VISALIA, CA 93274
(559) 625-0331
Mailing address
1877 S IRWIN ST, TULARE, CA 93274-8425
(559) 740-8426
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/20/2013
Last updated
11/20/2013
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