Individual provider · Type 1 NPI
Odelta Gutierrez Clontz, MA, LPC, NCC
Mental Health Counselor · Huntersville, NC
NPI number
1033291091
Active
Practice location
202 S Old Statesville Rd
Huntersville, NC 28078-9700
Fax (704) 659-4141
Mailing address
8923 Lizzie Ln
Huntersville, NC 28078-5614
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor | 101YP2500X | 9707 (NC) |
| Professional Counselor | 101YP2500X | 66026 (TX) |
| Psychologist | 103T00000X | 1793 (PR) |
| Mental Health Counselor Primary | 101YM0800X | 9707 (NC) |
Mental Health Counselor: Definition to come...
2 other providers at this address
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About NPI 1033291091
Odelta Gutierrez Clontz, MA, LPC, NCC's National Provider Identifier is 1033291091, issued on Oct 19, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Huntersville, NC. The record was last updated on May 11, 2020.