Individual provider · Type 1 NPI
Miriam P. Owens Gutierre, LCPC
Addiction (Substance Use Disorder) Counselor · Crystal Lake, IL
NPI number
1871618801
Active
Practice location
422 Tag Way
Crystal Lake, IL 60014-6288
Fax (815) 444-6816
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
Another provider at this address
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About NPI 1871618801
Miriam P. Owens Gutierre, LCPC's National Provider Identifier is 1871618801, issued on Mar 20, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Crystal Lake, IL. The record was last updated on Jul 8, 2007.