Gutierrez, Patricia Rose
Gutierrez, Patricia Rose is an sole proprietor health care provider with primary practice located at 147 Randall St , Waukesha WI 53188-3528. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Gutierrez, Patricia Rose can be contacted via phone (262) 510-8490.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 7295-125 | Wisconsin |
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 11046-132 | Wisconsin |
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 11046 | Wisconsin |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | ||
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 7295-125 | |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | Wisconsin |
Profile Details
| NPI number | 1952577488 |
|---|---|
| LBN Legal business name | Gutierrez, Patricia Rose |
| Credentials | CSAC, ICS, LPC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 5th, 2008 |
| Last updated | Oct 14th, 2020 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1952577488 | NPPES |
| Wisconsin | MEDICAID | 39384900 | |
| Wisconsin | MEDICAID | 1952577488 |
Popular Providers
-
Lynn, Joyce
2717 N. Grandview Blvd. Suite 201, Waukesha WI 53188 -
Kinney, Carol L
741 N Grand Ave , Waukesha WI 53186-4820 -
Ford, Melissa A
S29W29350 Ancestral Dr , Waukesha WI 53188-9514 -
Murray, Barbara J
707 W Moreland Blvd Suite 5, Waukesha WI 53188-2400 -
Short, Michael Carl
741 N Grand Ave , Waukesha WI 53186-4820 -
Oman, Diane M
741 N Grand Ave Ste 210, Waukesha WI 53186-4820 -
Krell, Timothy Scott
1501 Airport Rd , Waukesha WI 53188-2461 -
Steiner, Lynsey A
20700 Watertown Rd #102, Waukesha WI 53186-1800