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Organization

RACHAEL ORTIZ,LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RACHAEL ORTIZ LMFT (MARRIAGE AND FAMILY THERAPIST)
(860) 729-4824
Entity
Organization

Contact information

Practice address
45 S MAIN ST, SUITE 300, WEST HARTFORD, CT 06107-2441
(860) 729-4824
Mailing address
45 S MAIN ST, SUITE 300, WEST HARTFORD, CT 06107-2441

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
001629
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00804882
CT
Enumeration date
01/03/2017
Last updated
01/03/2017
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