Gutierrez, Angela
Gutierrez, Angela is an sole proprietor health care provider with primary practice located at 2428 Sea Horse St , Portage IN 46368-6509. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Gutierrez, Angela can be contacted via phone (219) 841-2316.Contact Information
Primary practice address
2428 Sea Horse St
Portage IN 46368-6509
Phone: (219) 841-2316
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 34008103A | Indiana |
Profile Details
NPI number | 1699249557 |
---|---|
LBN Legal business name | Gutierrez, Angela |
Credentials | Licensed Clinical Social Worker (LCSW) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jan 14th, 2019 |
Last updated | Jan 14th, 2019 - about 6 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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