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Sergio A Gutierrez, CADCII,QMHAII
Addiction (Substance Use Disorder) Counselor in Dallas, Oregon
NPI 1376764951

Sergio A Gutierrez is an Addiction (Substance Use Disorder) Counselor based in Salem, OR and is specialized in Addiction (Substance Use Disorder). Sergio A Gutierrez practices in Dallas, OR and has the professional credentials of CADCII,QMHAII. The NPI Number for Sergio A Gutierrez is 1376764951 and holds a License No. (Oregon).

The current practice location address for Sergio A Gutierrez is 182 Sw Academy Street, Dallas, OR and can be reached out via phone at 503-623-9289.

Location: 182 Sw Academy Street, Dallas, OR, 97304
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1376764951
Provider Name
Sergio A Gutierrez
Credential
CADCII,QMHAII
Provider Entity Type
Individual
Gender
Male
Address
182 Sw Academy Street, Dallas, OR, 97304
Phone Number
503-623-9289
Fax Number
Provider Enumeration Date
05/01/2007
Last Update Date
11/16/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00-07-15 01 OR CADC CERFTIFICATION NUMBE
institution
Provider Business Practice Location Address Details
Address
182 Sw Academy Street
City
Dallas
State
Oregon
Zip
97338
Phone Number
503-623-9289
Fax Number
person
Provider Business Mailing Address Details
Address
182 Sw Academy Street
City
Dallas
State
Oregon
Zip
97338
Phone Number
503-623-9289
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
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