JORGE ANDREW GUTIERREZ
NPI 1912539396
Counselor - Addiction (Substance Use Disorder) in Upland, CA
Active since February 04, 2020
About Jorge Andrew Gutierrez NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JORGE ANDREW GUTIERREZ (NPI 1912539396) is an individual addiction (substance use disorder) provider in Upland, California, licensed in California (R1348550519) and active in the NPI registry since February 2020.
NPPES Registry Identity
NPI1912539396
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameJORGE ANDREW GUTIERREZ
Location Address1260 E ARROW HWY BLDG EUpland, CA 91786-4984
Mailing Address1260 E Arrow Hwy Bldg EUpland, CA 91786-4984 · (909) 932-1069
Phone(909) 932-1069
Sole ProprietorNo
Enumeration DateFebruary 4, 2020
Last NPPES UpdateAugust 16, 20232 updates tracked since enumeration
NPPES CertifiedAugust 16, 2023
✔ NPI 1912539396 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in CA · R1348550519
1260 E ARROW HWY BLDG E, Upland, CA 91786
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Counselor (Addiction (Substance Use Disorder))
1260 E ARROW HWY BLDG E
UPLAND, CA 91786
UPLAND, CA 91786
Counselor (Addiction (Substance Use Disorder))
1260 E ARROW HWY BLDG E
UPLAND, CA 91786
UPLAND, CA 91786
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1912539396, enumerated as an "individual" on February 04, 2020.
The provider is located at 1260 E ARROW HWY BLDG E UPLAND, CA 91786 and the phone number is (909) 932-1069.
Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).
