MEDICARE: BRIANNE GUTIERREZ LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	72983	TX

General Provider Information

NPI Number	:	1578002762
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRIANNE GUTIERREZ LPC

Provider Business Mailing Address
First Line	:	201 E MAIN DR STE 600
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79901-1385
Country	:	US
Telephone Number	:	915-887-3410
Fax Number	:

Provider Business Practice Location Address
First Line	:	1551 MONTANA AVE
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79902-5668
Country	:	US
Telephone Number	:	915-308-6378
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/21/2017
Last Update Date	:	01/12/2026

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Directions to “ BRIANNE GUTIERREZ LPC” Practice Location

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