Jennifer Gutierrez
Individual provider Active NPI Professional Counselor · Modesto, CA
NPI 1013780717 · NPPES record last updated Jan 16, 2024
Key facts
- NPI
- 1013780717
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 119661 (CA)
- Practice address
- 1620 Cummins Dr
Modesto, CA 95358-6400 - Phone
- (209) 576-1750
- NPI assigned
- Nov 3, 2023
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | |||
| Professional Counselor | 101YP2500X | 119661 | CA | Yes |
Addresses
Primary practice location
1620 Cummins Dr
Modesto, CA 95358-6400
Mailing address
1620 Cummins Dr
Modesto, CA 95358-6400
Phone (209) 576-1750
Other providers in Modesto, CA
- Gilberto Gutierrez
- Iliana Gutierrez
- Jacob Gutierrez
- Jahaziel Gutierrez
- Jasmine Gutierrez
- Leticia Gutierrez
- Maria Basilisa Gutierrez
- Mariana Gutierrez
- Marissa Marie Gutierrez
- Martin Fabio Gutierrez
All providers in Modesto, CA · Professional Counselor in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 16, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.