MEDICARE: BRITTANY MARIE GUTIERREZ LSW

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	101YM0800X	Mental Health Counselor	0009927070	CO

General Provider Information

NPI Number	:	1659202703
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRITTANY MARIE GUTIERREZ LSW

Provider Business Mailing Address
First Line	:	647 S LONE COWBOY DR
Second Line	:
City	:	PUEBLO WEST
State	:	CO
Zip	:	81007-6116
Country	:	US
Telephone Number	:	719-470-5095
Fax Number	:

Provider Business Practice Location Address
First Line	:	237 N CEDAR ST
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80903-3521
Country	:	US
Telephone Number	:	719-470-5095
Fax Number	:

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

Provider Enumeration Date	:	05/27/2026
Last Update Date	:	05/27/2026

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