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Individual

SANDRA ANN ORTEGA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LAMFT

Contact information

Practice address
2117 WINDSOR PL, LAS CRUCES, NM 88005-1500
(575) 639-0557
Mailing address
1320 S SOLANO DR, LAS CRUCES, NM 88001-3758
(575) 522-4004

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
CTB-2023-0662
NM
171M00000X
Case Manager/Care Coordinator

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
74481
NM
Enumeration date
01/06/2014
Last updated
12/18/2023
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