Individual
SAMANTHA ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CASAC-T
Contact information
Practice address
396 BROADWAY, MONTICELLO, NY 12701-1157
(845) 794-8080
(848) 794-8343
Mailing address
165 WISNER AVE, APT 4, MIDDLETOWN, NY 10940-3832
(845) 794-8080
(848) 794-8343
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
31084
NY
Other
Enumeration date
05/11/2015
Last updated
05/18/2015
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