Gutkin, Mikhail

Gutkin, Mikhail is an individual health care provider with primary practice located at 1761 Broadway St , Vallejo CA 94589-2226. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Gutkin, Mikhail can be contacted via phone (707) 645-2700.

Contact Information

Primary practice address
1761 Broadway St Vallejo CA 94589-2226
Phone: (707) 645-2700
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY24794 California
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X PSY24794 California
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1679601041
LBN Legal business name Gutkin, Mikhail
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 28th, 2007
Last updated Jan 11th, 2022 - about 2 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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