ODELTA GUTIERREZ CLONTZ

HUNTERSVILLE, NC
NPI1033291091
Former NameODELTA M GUTIERREZ
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: NC  9707)
Additional Taxonomies101YP2500X Counselor, Professional
(Licence: NC  9707)
101YP2500X Counselor, Professional
(Licence: TX  66026)
103T00000X Psychologist
(Licence: PR  1793)
Enumeration Date2006-10-19
Last Update Date2020-05-11
Business Address
ODELTA GUTIERREZ CLONTZ MA, LPC, NCC
202 S OLD STATESVILLE RD
HUNTERSVILLE, NC 28078-9700
Phone number: 704-680-6204
Mailing Address
ODELTA GUTIERREZ CLONTZ MA, LPC, NCC
8923 LIZZIE LN
HUNTERSVILLE, NC 28078-5614
Phone number: 832-585-4908