Individual
YVELISSE VELASQUEZ-ORTIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAMFT
Contact information
Practice address
120 PASSAIC AVE, HAWTHORNE, NJ 07506-1406
(973) 636-8525
Mailing address
120 PASSAIC AVE, HAWTHORNE, NJ 07506-1406
(973) 636-8525
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
37FA00016400
NJ
Other
Enumeration date
07/01/2024
Last updated
07/01/2024
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