Provider Demographics
NPI:1275242570
Name:GUTIERREZ, ELENA (LPC)
Entity type:Individual
Prefix:
First Name:ELENA
Middle Name:
Last Name:GUTIERREZ
Suffix:
Gender:
Credentials:LPC
Other - Prefix:
Other - First Name:ELENA
Other - Middle Name:CASTANEDA
Other - Last Name:AGUINAGA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:807 BOBCAT CRK
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78251-4031
Mailing Address - Country:US
Mailing Address - Phone:210-328-5104
Mailing Address - Fax:
Practice Address - Street 1:7703 FLOYD CURL DR
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-3901
Practice Address - Country:US
Practice Address - Phone:210-328-5104
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-11-16
Last Update Date:2025-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX90039101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health