Individual
JACQUELINE ORTIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
360 APPENZELL TER, STROUDSBURG, PA 18360-7742
(570) 688-0657
Mailing address
360 APPENZELL TER, STROUDSBURG, PA 18360-7742
(570) 688-0657
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
07/11/2017
Last updated
07/21/2022
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