Provider Demographics
NPI:1578838744
Name:GUTIERREZ, RICHARD ALEX (MS)
Entity Type:Individual
Prefix:
First Name:RICHARD
Middle Name:ALEX
Last Name:GUTIERREZ
Suffix:
Gender:M
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3322 BROADWAY
Mailing Address - Street 2:COMPASS HEALTH
Mailing Address - City:EVERETT
Mailing Address - State:WA
Mailing Address - Zip Code:98201-4425
Mailing Address - Country:US
Mailing Address - Phone:425-349-6800
Mailing Address - Fax:425-349-6836
Practice Address - Street 1:3322 BROADWAY
Practice Address - Street 2:COMPASS HEALTH
Practice Address - City:EVERETT
Practice Address - State:WA
Practice Address - Zip Code:98201-4425
Practice Address - Country:US
Practice Address - Phone:425-349-7210
Practice Address - Fax:425-349-7223
Is Sole Proprietor?:No
Enumeration Date:2012-03-20
Last Update Date:2015-04-30
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health