Individual
MISS MELISSA ANN ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
62 MILLS ST, BRISTOL, CT 06010-4940
(203) 535-5246
Mailing address
62 MILLS ST, BRISTOL, CT 06010-4940
(203) 535-5246
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
103K00000X
Behavior Analyst
—
—
Other
Enumeration date
09/30/2010
Last updated
09/21/2016
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