person
Miriam P Owens Gutierre, LCPC
Addiction (Substance Use Disorder) Counselor in Crystal Lake, Illinois
NPI 1871618801

Miriam P Owens Gutierre is an Addiction (Substance Use Disorder) Counselor based in Crystal Lake, IL and is specialized in Addiction (Substance Use Disorder). Miriam P Owens Gutierre practices in Crystal Lake, IL and has the professional credentials of LCPC. The NPI Number for Miriam P Owens Gutierre is 1871618801 and holds a License No. (Illinois).

The current practice location address for Miriam P Owens Gutierre is 422 Tag Way, Crystal Lake, IL and can be reached out via phone at 815-444-6400 and via fax at 815-444-6816. You can also correspond with Miriam P Owens Gutierre through the mailing address at 422 TAG WAY, CRYSTAL LAKE, IL - 60014-6288 (mailing address contact number: 815-444-6400).

Location: 422 Tag Way, Crystal Lake, IL, 60014-6288
person
Provider Profile Details
NPI Number
1871618801
Provider Name
Miriam P Owens Gutierre
Credential
LCPC
Provider Entity Type
Individual
Gender
Female
Address
422 Tag Way, Crystal Lake, IL, 60014-6288
Phone Number
815-444-6400
Fax Number
815-444-6816
Provider Enumeration Date
03/20/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3636144473 01 IL EIN
institution
Provider Business Practice Location Address Details
Address
422 Tag Way
City
State
Zip
60014-6288
Phone Number
815-444-6400
Fax Number
815-444-6816
person
Provider Business Mailing Address Details
Address
422 Tag Way
City
State
Zip
60014-6288
Phone Number
815-444-6400
Fax Number
815-444-6816
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
(Illinois)
Definition
Definition to come...
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