Provider Demographics
NPI:1386993673
Name:GUTIERREZ, RINA LUCIA (LMFT)
Entity type:Individual
Prefix:
First Name:RINA
Middle Name:LUCIA
Last Name:GUTIERREZ
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:RHINA
Other - Middle Name:LUCIA
Other - Last Name:GUTIERREZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:10229 NW 9TH STREET CIR APT 204
Mailing Address - Street 2:204
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33172-3232
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:10229 NW 9TH STREET CIR APT 204
Practice Address - Street 2:204
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33172-3232
Practice Address - Country:US
Practice Address - Phone:786-457-9963
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-03
Last Update Date:2024-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMT4911106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist