Individual
VANESSA X ORTIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
5300 MCNUTT RD STE 10, SANTA TERESA, NM 88008-9647
(915) 203-8616
Mailing address
5300 MCNUTT RD STE 10, SANTA TERESA, NM 88008-9647
(915) 203-8616
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
NM
Other
Enumeration date
08/01/2019
Last updated
08/01/2019
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