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Contact Information

JOHN GUTIERREZ, LCSW
477 E BROADWAY ROAD
APACHE JUNCTION, AZ85219
 Phone: 480-983-0562
 Fax: 480-983-0635
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for JOHN GUTIERREZ · (Male)

NPI Number 1659508844
Status Active
Credentials LCSW (Licensed Clinical Social Worker)
Entity Individual
Enumeration date 06/16/2009
Last updated 07/10/2009 - About 17 years ago
Sole proprietor 1 No
Identifiers
  • AZ License # 0695
  • AZ Medicaid PENDING
  • AZ Other LCSW 0695 MEDICAID AND MEDICARE PENDING
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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