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Patricia Rose Gutierrez, CSAC,ICS,LPC
Professional Counselor in Waukesha, Wisconsin
NPI 1952577488

Patricia Rose Gutierrez is a Professional Counselor based in Waukesha, WI and is specialized in Professional. Patricia Rose Gutierrez practices in Waukesha, WI and has the professional credentials of CSAC,ICS,LPC. The NPI Number for Patricia Rose Gutierrez is 1952577488 and holds a License No. 7295-125 (Wisconsin).

The current practice location address for Patricia Rose Gutierrez is 147 Randall St, Waukesha, WI and can be reached out via phone at 262-510-8490.

Location: 147 Randall St, Waukesha, WI, 53188-3528
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Provider Profile Details
NPI Number
1952577488
Provider Name
Patricia Rose Gutierrez
Credential
CSAC,ICS,LPC
Provider Entity Type
Individual
Gender
Female
Address
147 Randall St, Waukesha, WI, 53188-3528
Phone Number
262-510-8490
Fax Number
Provider Enumeration Date
05/05/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
39384900 05 WI
1952577488 05 WI
institution
Provider Business Practice Location Address Details
Address
147 Randall St
City
State
Zip
53188-3528
Phone Number
262-510-8490
Fax Number
person
Provider Business Mailing Address Details
Address
147 Randall St
City
State
Zip
53188-3528
Phone Number
262-510-8490
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
11046 (Wisconsin)
Definition
Definition to come...
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Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
11046-132 (Wisconsin)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
7295-125 (Wisconsin)
Definition
Definition to come...
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