Gutierrez, John

Gutierrez, John is an individual health care provider with primary practice located at 477 E Broadway Road , Apache Junction AZ 85219. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Gutierrez, John can be contacted via phone (480) 983-0562.

Contact Information

Primary practice address
477 E Broadway Road Apache Junction AZ 85219
Phone: (480) 983-0562
Fax: (480) 983-0635
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 0695 Arizona

Profile Details

NPI number 1659508844
LBN Legal business name Gutierrez, John
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2009
Last updated Jul 10th, 2009 - about 15 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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Identifiers

StateTypeNumberIssuer
All States NPI 1659508844 NPPES
Arizona Other LCSW 0695 MEDICAID AND MEDICARE PENDING
Arizona MEDICAID PENDING MEDICAID AND MEDICARE PENDING

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