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Ivan Gutierrez Casillas
Counselor in Beaumont, California
NPI 1386164150

Ivan Gutierrez Casillas is a Counselor based in Beaumont, CA. Ivan Gutierrez Casillas practices in Beaumont, CA. The NPI Number for Ivan Gutierrez Casillas is 1386164150 and holds a License No. (California).

The current practice location address for Ivan Gutierrez Casillas is 136 E 6Th St, Beaumont, CA and can be reached out via phone at 951-845-3588.

Location: 136 E 6Th St, Beaumont, CA, 92223-2146
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1386164150
Provider Name
Ivan Gutierrez Casillas
Credential
Provider Entity Type
Individual
Gender
Male
Address
136 E 6Th St, Beaumont, CA, 92223-2146
Phone Number
951-845-3588
Fax Number
Provider Enumeration Date
06/22/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
136 E 6Th St
City
Beaumont
State
California
Zip
92223-2146
Phone Number
951-845-3588
Fax Number
person
Provider Business Mailing Address Details
Address
136 E 6Th St
City
Beaumont
State
California
Zip
92223-2146
Phone Number
951-845-3588
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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