SearchIdaho101YA0400X

Olivia Gutierrez, CADC

NPI 1306682893 · on the registry since 2024 · sole proprietor

Practice

Address
101 W 18th St
Burley, ID 83318
Phone
(661) 717-4811
Organisation at this address
Active Community Solutions, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-07-03

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho