Individual provider · Type 1 NPI

Carly Jean Gutierrez

Mental Health Counselor · Hicksville, NY

NPI number 1114415015 Active

About NPI 1114415015

Carly Jean Gutierrez's National Provider Identifier is 1114415015, issued on Apr 25, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Hicksville, NY. The record was last updated on Oct 23, 2025.