Individual provider · Type 1 NPI

Carly Heather Gutierrez

Peer Specialist · Olympia, WA

NPI number 1104549708 Active

Practice location

1202 Black Lake Blvd SW
Olympia, WA 98502-7207

Mailing address

907 7th Ave SW
Tumwater, WA 98512-6820

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XNone listed

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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About NPI 1104549708

Carly Heather Gutierrez's National Provider Identifier is 1104549708, issued on Sep 20, 2022. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Olympia, WA. The record was last updated on Sep 20, 2022.