Individual provider · Type 1 NPI
Maria Theresa Barrera Gutierrez, LCSW
Addiction (Substance Use Disorder) Counselor · Green Bay, WI
NPI number
1659020097
Active
Practice location
790 Marvelle Ln Ste 1
Green Bay, WI 54304-4683
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker | 1041C0700X | 12615-123 (WI) |
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 19627-130 (WI) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1659020097
Maria Theresa Barrera Gutierrez, LCSW's National Provider Identifier is 1659020097, issued on Mar 22, 2022. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Green Bay, WI. The record was last updated on Oct 3, 2025.