Gutierrez, Nichole
Gutierrez, Nichole is an individual health care provider with primary practice located at 2625 Mcnutt Rd Ste B , Sunland Park NM 88063-9608. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Gutierrez, Nichole can be contacted via phone (575) 589-6540.Contact Information
Primary practice address
2625 Mcnutt Rd Ste B
Sunland Park NM 88063-9608
Phone: (575) 589-6540
Fax: (575) 589-5864
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | CTB-2022-0665 | New Mexico |
Profile Details
| NPI number | 1063134583 |
|---|---|
| LBN Legal business name | Gutierrez, Nichole |
| Credentials | LMHC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 12th, 2022 |
| Last updated | Nov 21st, 2023 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063134583 | NPPES |
| New Mexico | MEDICAID | 95323783 |
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