Doctor Name: | MRS. VERONICA DOLORES GUTIERREZ |
NPI Number: | 1013134873 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RC00056363 |
License Number: | RC00056363 |
Business Practice Address: | 720 W Court St Suite #8 Pasco, WA - 99301 |
Business Phone Number: | 5095456506 |
Business Fax Number: | 5095460520 |
Mailing Address: | Po Box 1323, PASCO |
State: | WA |
Postal Code: | 99301 |
Phone Number: | 5095472204 |
Fax Number: | 5095428836 |
NPI Enumeration Date: | 04/20/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | RC00056363 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | WA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |