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NPI Code Detail

MEDICARE: MRS. SHEILA GARRETT GUTIERREZ LMFT

MEDICARE: MRS. SHEILA GARRETT 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 TherapistMFT29055CA

General Provider Information

NPI Number : 1831200708
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. SHEILA GARRETT GUTIERREZ LMFT
Provider Business Mailing Address
First Line : 150 E MEDA AVE STE 110
Second Line :
City : GLENDORA
State : CA
Zip : 91741-2607
Country : US
Telephone Number : 626-963-1309
Fax Number : 626-335-6670
Provider Business Practice Location Address
First Line : 150 E MEDA AVE STE 110
Second Line :
City : GLENDORA
State : CA
Zip : 91741-2607
Country : US
Telephone Number : 626-963-1309
Fax Number : 626-335-6670
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/31/2006
Last Update Date : 12/18/2018

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Directions to “ MRS. SHEILA GARRETT GUTIERREZ LMFT” Practice Location

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