Individual
JUVENTINA MARIE GUTIERREZ I
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
212 CARMEN LN, SANTA MARIA, CA 93458-7769
(805) 457-3724
Mailing address
356 URANUS CT, NIPOMO, CA 93444-9620
(805) 695-1859
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
373H00000X
Day Training/Habilitation Specialist
Primary
—
CA
Other
Enumeration date
01/13/2026
Last updated
03/17/2026
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