Individual
MELISSA NICOLE ORTIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA,LPC
Contact information
Practice address
162 MCDOUGAL AVE, SAN ANTONIO, TX 78223-1420
(210) 815-0711
Mailing address
162 MCDOUGAL AVE, SAN ANTONIO, TX 78223-1420
(210) 815-0711
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
76296
TX
101YA0400X
Addiction (Substance Use Disorder) Counselor
76296
TX
101YM0800X
Mental Health Counselor
76296
TX
101YP1600X
Pastoral Counselor
76296
TX
101YS0200X
School Counselor
76296
TX
Other
Enumeration date
05/14/2018
Last updated
05/14/2018
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