Individual
MS. PAMELA ANN GUTIERREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADAC
Contact information
Practice address
4300 SILVER AVE SE, ALBUQUERQUE, NM 87108-2748
(505) 255-1804
Mailing address
4300 SILVER AVE SE, ALBUQUERQUE, NM 87108-2748
(505) 255-1804
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0130101
NM
Other
Enumeration date
02/10/2017
Last updated
02/10/2017
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