Individual
MRS. ALICIA GUTIERREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
700 EUBANKS RD, COMBINE, TX 75159-6040
(469) 865-5720
Mailing address
700 EUBANKS RD, COMBINE, TX 75159-6040
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
95009
TX
101YS0200X
School Counselor
Primary
000000
TX
Other
Enumeration date
12/11/2024
Last updated
12/11/2024
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