Individual
JUSTIN GUTTERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
124 N COURT ST, FREDERICK, MD 21701-6614
(301) 304-7108
Mailing address
611 AMBERFIELD RD, FREDERICK, MD 21703-4572
(301) 221-8343
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
30263
MD
Other
Enumeration date
07/03/2023
Last updated
07/03/2023
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