Individual provider · Type 1 NPI

Mikhail Gutkin, PhD

Mental Health Counselor · Vallejo, CA

NPI number 1679601041 Active

Practice location

1761 Broadway St
Vallejo, CA 94589-2226

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist 103TC0700XPSY24794 (CA)
Clinical Child & Adolescent Psychologist 103TC2200XPSY24794 (CA)
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1679601041

Mikhail Gutkin, PhD's National Provider Identifier is 1679601041, issued on Feb 28, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Vallejo, CA. The record was last updated on Jan 11, 2022.