Gutierrez, Carly Jean

Gutierrez, Carly Jean is an individual health care provider with primary practice located at 106 Vineyard Ave , Highland NY 12528-1422. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Gutierrez, Carly Jean can be contacted via phone (845) 691-9191.

Contact Information

Primary practice address
106 Vineyard Ave Highland NY 12528-1422
Phone: (845) 691-9191
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 010069 New York

Profile Details

NPI number 1114415015
LBN Legal business name Gutierrez, Carly Jean
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2018
Last updated Apr 21st, 2021 - 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.

Request for update

Popular Providers