Individual
JOSHUA GUTIERREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCMHC-A, LCAS-A
Contact information
Practice address
2235 LEWISVILLE CLEMMONS RD STE A, CLEMMONS, NC 27012-9342
(336) 722-7266
(336) 201-0538
Mailing address
713 S MARSHALL ST, WINSTON SALEM, NC 27101-5808
(336) 722-7266
(336) 201-0538
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCAS-27246
NC
101YM0800X
Mental Health Counselor
Primary
A16630
NC
Other
Enumeration date
06/18/2021
Last updated
06/18/2021
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