Clontz, Odelta Gutierrez

Clontz, Odelta Gutierrez is an sole proprietor health care provider with primary practice located at 202 S Old Statesville Rd , Huntersville NC 28078-9700. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Clontz, Odelta Gutierrez can be contacted via phone (704) 680-6204.

Contact Information

Primary practice address
202 S Old Statesville Rd Huntersville NC 28078-9700
Phone: (704) 680-6204
Fax: (704) 659-4141
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 9707 North Carolina
Behavioral Health & Social Service Providers / Professional 101YP2500X 66026 Texas
Behavioral Health & Social Service Providers / Psychologist 103T00000X 1793 Puerto Rico
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 9707 North Carolina

Profile Details

NPI number 1033291091
LBN Legal business name Clontz, Odelta Gutierrez
Credentials MA, LPC, NCC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 19th, 2006
Last updated May 11th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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