Doctor Name: | PAUL GUTIERREZ |
NPI Number: | 1942606777 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | COUNSELOR |
License Number: | 6347285 |
Business Practice Address: | 6420 Peerless Farms Rd Peyton, CO - 808317456 |
Business Phone Number: | 7196606292 |
Business Fax Number: | 7196839387 |
Mailing Address: | 1401 Potter Dr, Suite 101 COLORADO SPRINGS |
State: | CO |
Postal Code: | 809093558 |
Phone Number: | 7196606292 |
Fax Number: | 7196839387 |
NPI Enumeration Date: | 11/05/2014 |
NPI Last Update Date: | 11/05/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 6347285 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CO |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |