Individual
GILBERTO GUTIERREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SERVICE FACILITATOR
Contact information
Practice address
2701 INTERNATIONAL LN, MADISON, WI 53704-3126
(608) 268-6530
Mailing address
815 FORWARD DR, MADISON, WI 53711
(608) 268-6530
(608) 709-1744
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
1274-124
WI
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/15/2015
Last updated
09/18/2024
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