Individual
MARIA THERESA BARRERA GUTIERREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
790 MARVELLE LN STE 1, GREEN BAY, WI 54304-4683
(920) 264-5031
Mailing address
790 MARVELLE LN STE 1, GREEN BAY, WI 54304-4683
(920) 264-5031
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
19627-130
WI
1041C0700X
Clinical Social Worker
12615-123
WI
Other
Enumeration date
03/22/2022
Last updated
10/03/2025
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