Individual
MARGIE W MORTIMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., L.P.C.C.
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
E2013
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-9H5565
HORIZON HEALTH
—
01
—
140050555854
HUMANA
—
01
—
2003888
CIGNA BEHAVIORAL HEALTH
—
01
—
22000000222920
ANTHEM
—
01
—
22000000222923
ANTHEM
—
01
—
5206754
AETNA
—
01
—
NL724
EMPIREBLUECROSSBLUESHIELD
NY
Enumeration date
10/15/2006
Last updated
07/08/2007
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