Provider Demographics
NPI:1093459075
Name:MENO-GUTIERREZ, GILBERTO ANDRES SONNY (LPC)
Entity type:Individual
Prefix:MR
First Name:GILBERTO
Middle Name:ANDRES SONNY
Last Name:MENO-GUTIERREZ
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1005 E GLENROSA AVE
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85014-4435
Mailing Address - Country:US
Mailing Address - Phone:602-799-9727
Mailing Address - Fax:
Practice Address - Street 1:10000 N 31ST AVE STE D407
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85051-1352
Practice Address - Country:US
Practice Address - Phone:602-718-1266
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-25
Last Update Date:2025-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLAC-19054101Y00000X
AZLPC-21793101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor