Individual
JAVIER ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCDC
Contact information
Practice address
302 W EXPY 83, SAN JUAN, TX 78589-3699
(956) 502-5844
Mailing address
302 W EXPY 83, SAN JUAN, TX 78589-3699
(956) 502-5844
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
10322
TX
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
11/05/2010
Last updated
11/05/2010
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