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SENOVIA GUTIERREZ
Mental Health >> Counselor >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1851607691
Individual Registrant: SENOVIA GUTIERREZ
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
476 E WASHINGTON ST EARLIMART, CA 93219 US
Tel: 800-492-4227 Fax: --
Tel: 800-492-4227 Fax: --
Contact information for business:
201 N K ST TULARE, CA 93274-4005 US
Tel: 559-687-0929 Fax: 559-685-8953
Tel: 559-687-0929 Fax: 559-685-8953
Registration Information:
NPI: 1851607691
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 101YM0800X | Behavioral Health & Social Service Providers Counselor Mental Health | CA | |
| Y | 1041C0700X | Behavioral Health & Social Service Providers Social Worker | CA | LCSW95883 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
