Individual
ALEXIS JANENE ORTEGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1461 E COOLEY DR STE 100, COLTON, CA 92324-3921
(877) 527-7227
Mailing address
2794 SPRUCE ST, RIALTO, CA 92376-5346
(951) 347-7161
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
A066530625
CA
175T00000X
Peer Specialist
Primary
MPSS-PPSD9C
CA
Other
Enumeration date
12/16/2018
Last updated
07/14/2025
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