Individual
NICOLAS ORTIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSC, LPC
Contact information
Practice address
3CS39 VIA 56, CAROLINA, PR 00983-4669
(787) 910-8726
Mailing address
3CS39 VIA 56, CAROLINA, PR 00983-4669
(787) 910-8726
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
4617
PR
Other
Enumeration date
12/05/2021
Last updated
08/05/2022
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