KELLYN RUTH ANN GUTMANN


Address: 150 Benmore Dr, Hayward, CA 94542-7936
Phone: (408) 515-3389

KELLYN RUTH ANN GUTMANN (NPI# 1780193219) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1780193219
Entity Type Individual
Full Name KELLYN RUTH ANN GUTMANN
Credential LPCC
Practice Address 150 Benmore Dr
Hayward
CA 94542-7936
Practice Telephone (408) 515-3389
Mailing Telephone 4085153389
Enumeration Date 2017-09-27
Last Update Date 2017-09-27
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
2434 CA Behavioral Health & Social Service Providers

Office Location

Street Address 150 BENMORE DR
City HAYWARD
State CA
Zip Code 94542-7936

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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

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1083052542 Eury Ramos Counselor 2048 B St, Hayward, CA 94541-3204 2013-06-06
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1699058180 Shelly Kwong Counselor 1318 B St Apt B-113, Hayward, CA 94541-2944 2011-09-21
1578861498 Tracy Charisse Larson Counselor 15655 County Rd B, Hayward, WI 54843-3251 2011-03-01
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Competitor

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City HAYWARD
Zip Code 94542

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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