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NPI Code Detail

MEDICARE: LEANA ELENA GUTIERREZ LMFT

MEDICARE: LEANA ELENA GUTIERREZ LMFT
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
1106H00000XMarriage & Family Therapist159079CA

General Provider Information

NPI Number : 1801461637
Entity Type Code : Individual
Provider Name (Legal Business Name) : LEANA ELENA GUTIERREZ LMFT
Provider Business Mailing Address
First Line : PO BOX 91054
Second Line :
City : SANTA BARBARA
State : CA
Zip : 93190-1054
Country : US
Telephone Number : 805-403-3134
Fax Number :
Provider Business Practice Location Address
First Line : 5901 ENCINA RD STE A
Second Line :
City : GOLETA
State : CA
Zip : 93117-2270
Country : US
Telephone Number : 805-798-3723
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/24/2021
Last Update Date : 05/18/2026

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