Provider Demographics
NPI:1497874952
Name:GUTIERREZ, YVONNE R (BA)
Entity Type:Individual
Prefix:MRS
First Name:YVONNE
Middle Name:R
Last Name:GUTIERREZ
Suffix:
Gender:F
Credentials:BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1716 N C ST
Mailing Address - Street 2:
Mailing Address - City:OXNARD
Mailing Address - State:CA
Mailing Address - Zip Code:93030-3504
Mailing Address - Country:US
Mailing Address - Phone:805-201-2231
Mailing Address - Fax:805-201-2265
Practice Address - Street 1:2055 SAVIERS RD STE 10
Practice Address - Street 2:
Practice Address - City:OXNARD
Practice Address - State:CA
Practice Address - Zip Code:93033-3608
Practice Address - Country:US
Practice Address - Phone:805-483-2253
Practice Address - Fax:805-483-2255
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)