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Individual

ELIANA ORTEGA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW 124190

Contact information

Practice address
661 ROBERTS LN STE B, BAKERSFIELD, CA 93308-4723
(661) 393-5836
Mailing address
123 W GUTIERREZ ST, SANTA BARBARA, CA 93101-3424

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
90408
CA
104100000X
Social Worker
Primary
124190
CA
104100000X
Social Worker
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
56CC
ASPIRA
Enumeration date
07/25/2019
Last updated
08/07/2024
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