Ivan Gutierrez Casillas
NPI #1386164150 in Beaumont, California
Provider Information
- NPI Number
- 1386164150
- Entity Type
- Individual
- Name
- Ivan Gutierrez Casillas
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor
- Enumeration Date
- Jun 22, 2017
- Last Updated
- Jun 22, 2017
Practice Location
- Address
- 136 E 6TH ST
- City
- Beaumont
- State
- California
- ZIP Code
- 92223-2146
- Phone
- (951) 845-3588
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor |
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