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Individual

MIGUEL GUTIERREZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1301 COUNTRY CLUB RD, SANTA TERESA, NM 88008-9431
(915) 260-8113
Mailing address
1301 COUNTRY CLUB RD, SANTA TERESA, NM 88008-9431
(915) 260-8113

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
101YM0800X
Mental Health Counselor
Primary
104100000X
Social Worker

Other

Enumeration date
01/14/2026
Last updated
01/14/2026
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