Individual
MR. CHRISTOPHER WILLIAM GUTIERREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
6762 LEXINGTON AVE, LOS ANGELES, CA 90038-1217
(323) 380-7590
Mailing address
6762 LEXINGTON AVE, LOS ANGELES, CA 90038-1217
(323) 380-7590
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
IMF69537
CA
171M00000X
Case Manager/Care Coordinator
Primary
—
—
225400000X
Rehabilitation Practitioner
IMF 69537
CA
Other
Enumeration date
05/17/2012
Last updated
09/20/2021
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