Individual
JESSICA MARIE ORTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPCC
Contact information
Practice address
1715 SHEPPARD DR, SAINT PETER, MN 56082-2539
(507) 934-7799
(507) 934-2594
Mailing address
PO BOX 60, SAINT PETER, MN 56082-0060
(507) 934-7799
(507) 934-2594
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
CC03011
MN
101YP2500X
Professional Counselor
Primary
CC03011
MN
Other
Enumeration date
11/09/2021
Last updated
11/09/2021
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