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Organization

ERICKA ORTIZ LCPC NBCC PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. ERICKA MARIE ORTIZ LCPC (LCPC)
(773) 612-3537
Entity
Organization

Contact information

Practice address
799 ROOSEVELT RD, BUILDING 4. SUITE 101, GLEN ELLYN, IL 60137-5908
(773) 612-3537
Mailing address
799 ROOSEVELT RD, BUILDING 4. SUITE 101, GLEN ELLYN, IL 60137-5908
(773) 612-3537

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180005687
IL

Other

Enumeration date
01/13/2016
Last updated
01/13/2016
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