Individual
JESSICA GUTIERREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2560 W SHAW LN STE 104, FRESNO, CA 93711-2777
(559) 443-8000
Mailing address
2560 W SHAW LN STE 104, FRESNO, CA 93711-2777
(559) 443-4800
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
13637
CA
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
17007
CA
101YP2500X
Professional Counselor
3896
CA
101YP2500X
Professional Counselor
—
—
Other
Enumeration date
02/03/2016
Last updated
09/16/2024
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