Individual
LINDA GUTIERREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
646 N H ST, LOMPOC, CA 93436-4519
(805) 865-1950
(805) 865-1955
Mailing address
646 N H ST, LOMPOC, CA 93436-4519
(805) 865-1950
(805) 865-1955
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
05/05/2008
Last updated
05/05/2008
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