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Organization

LORENZO ORTIZ DBA WINTERGARDEN COUNSELING SERVICES

Active
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Organization

LORENZO ORTIZ DBA WINTERGARDEN COUNSELING SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LORENZO ORTIZ LPC (LICENSED PROFESSIONAL COUNSELOR)
(830) 374-9191
Entity
Organization

Contact information

Practice address
203 N AVENUE C, CRYSTAL CITY, TX 78839-3550
(830) 374-9191
Mailing address
203 N AVENUE C, CRYSTAL CITY, TX 78839-3550
(830) 374-9191

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
20004
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
027823601
—
TX
05
—
177998501
—
TX
01
—
82303L
BLUE CROSS BLUE SHIELD
TX
01
—
84860L
BLUE CROSS BLUE SHIELD
TX
Enumeration date
01/02/2008
Last updated
07/16/2008
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