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Individual
CRYSTAL CELESTE ORTIZ
Active
Individual
CRYSTAL CELESTE ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
3997
CA
101YM0800X
Mental Health Counselor
3997
CA
101YM0800X
Mental Health Counselor
Primary
LPCC14129
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/24/2015
Last updated
07/27/2023
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