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1376764951
SERGIO A GUTIERREZ
DALLAS, OR
NPI
1376764951
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-05-01
Last Update Date
2024-10-25
Business Address
SERGIO A GUTIERREZ CADC II, QMHA II
182 SW ACADEMY STREET
DALLAS, OR 97338
Phone number: 503-623-9289
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Mailing Address
SERGIO A GUTIERREZ CADC II, QMHA II
239 STONEWAY DRIVE NW
SALEM, OR 97304
Phone number:
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