Individual
MR. JOSE GUTIERREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
12021 WILMINGTON AVE STE 2B, LOS ANGELES, CA 90059-3019
(310) 221-6336
Mailing address
12021 WILMINGTON AVE STE 2B, LOS ANGELES, CA 90059-3019
(310) 221-6336
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
Primary
LCSW94940
CA
1041C0700X
Clinical Social Worker
94940
CA
225400000X
Rehabilitation Practitioner
—
—
Other
Enumeration date
06/08/2009
Last updated
09/15/2023
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