Provider Demographics
NPI:1518441047
Name:GUTIERREZ, LAURI ESTELA (BA - PSYCHOLOGY)
Entity Type:Individual
Prefix:
First Name:LAURI
Middle Name:ESTELA
Last Name:GUTIERREZ
Suffix:
Gender:F
Credentials:BA - PSYCHOLOGY
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Mailing Address - Street 1:302 FRESNO ST STE 106
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93706-3641
Mailing Address - Country:US
Mailing Address - Phone:559-457-5750
Mailing Address - Fax:559-256-7952
Practice Address - Street 1:302 FRESNO ST STE 106
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93706-3641
Practice Address - Country:US
Practice Address - Phone:559-457-5750
Practice Address - Fax:559-256-7952
Is Sole Proprietor?:No
Enumeration Date:2018-09-20
Last Update Date:2018-09-20
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health