Individual
JULISSA M GUTIERREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, ACS
Contact information
Practice address
1 LUPTON AVE, WOODBURY, NJ 08096-5901
(856) 537-5081
Mailing address
47 DUNHILL DR, VOORHEES, NJ 08043-2507
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
3700630100
NJ
101YP2500X
Professional Counselor
Primary
NJ3700630100
NJ
Other
Enumeration date
01/09/2025
Last updated
01/09/2025
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