person
Ivan Gutierrez
Mental Health Counselor in Salem, Oregon
NPI 1265822167

Ivan Gutierrez is a Mental Health Counselor based in Salem, OR and is specialized in Mental Health. Ivan Gutierrez practices in Salem, OR. The NPI Number for Ivan Gutierrez is 1265822167 and holds a License No. (Oregon).

The current practice location address for Ivan Gutierrez is 1245 Edgewater St Nw, Salem, OR and can be reached out via phone at 503-588-5816 and via fax at 503-588-5803.

Location: 1245 Edgewater St Nw, Salem, OR, 97304-4049
person
Provider Profile Details
NPI Number
1265822167
Provider Name
Ivan Gutierrez
Credential
Provider Entity Type
Individual
Gender
Male
Address
1245 Edgewater St Nw, Salem, OR, 97304-4049
Phone Number
503-588-5816
Fax Number
503-588-5803
Provider Enumeration Date
01/29/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1245 Edgewater St Nw
City
State
Zip
97304-4049
Phone Number
503-588-5816
Fax Number
503-588-5803
person
Provider Business Mailing Address Details
Address
1245 Edgewater St Nw
City
State
Zip
97304-4049
Phone Number
503-588-5816
Fax Number
503-588-5803
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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