Search › Illinois › 101YA0400X
Miriam Owens Gutierre, LCPC
NPI 1871618801 · on the registry since 2007
Practice
- Address
- 422 Tag Way
Crystal Lake, IL 60014 - Phone
- (815) 444-6400
- Fax
- (815) 444-6816
- Organisation at this address
- Advantage Group Foundation, Ltd
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2007-07-08
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 Illinois