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Individual

MS. LORI M ORTIZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.A. LPCC

Contact information

Practice address
1 UNIVERSITY OF NM BLDG73, MSC-06-3870, ALBUQUERQUE, NM 87131
(505) 277-3136
(505) 277-2020
Mailing address
1 UNIVERSITY OF NM MSC09-3870, ALBUQUERQUE, NM 87131-0001
(055) 277-3136
(505) 277-2020

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
T-0107161
NM
101YM0800X
Mental Health Counselor
Primary
T-0107161
NM

Other

Enumeration date
10/09/2007
Last updated
07/11/2025
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