IVAN GUTIERREZ CASILLAS
Counselor
Active
Individual
NPI: 1386164150
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Counselor | 101Y00000X | Yes | - |
Frequently Asked Questions
NPI 1386164150 is the National Provider Identifier for IVAN GUTIERREZ CASILLAS, a Counselor provider located in Beaumont, CA. This NPI was enumerated on June 22, 2017.
IVAN GUTIERREZ CASILLAS practices at 136 E 6TH ST, Beaumont, CA 92223.
Quick Facts
- NPI
- 1386164150
- Type
- Individual
- Enumerated
- Jun 22, 2017
- Last Updated
- Jun 22, 2017
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