Individual
MRS. DAWN V ORTEGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MED, MC
Contact information
Practice address
3309 S KINGSHIGHWAY BLVD, SAINT LOUIS, MO 63139-1101
(314) 206-3700
Mailing address
3309 S KINGSHIGHWAY BLVD, SAINT LOUIS, MO 63139-1101
(314) 206-3700
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2014001540
MO
171M00000X
Case Manager/Care Coordinator
2014001540
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1205251378
LPC
MO
Enumeration date
02/26/2014
Last updated
08/07/2024
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