Individual
MIRIAM P OWENS GUTIERRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
422 TAG WAY, CRYSTAL LAKE, IL 60014-6288
(815) 444-6400
(815) 444-6816
Mailing address
422 TAG WAY, CRYSTAL LAKE, IL 60014-6288
(815) 444-6400
(815) 444-6816
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3636144473
EIN
IL
Enumeration date
03/20/2007
Last updated
07/08/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us