Individual
SUSANA ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3831 SW LINCOLNSHIRE RD, TOPEKA, KS 66610-1360
(785) 845-8396
Mailing address
3831 SW LINCOLNSHIRE RD, TOPEKA, KS 66610-1360
(785) 845-8396
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
3530
KS
101YM0800X
Mental Health Counselor
3530
KS
101YP2500X
Professional Counselor
Primary
3530
KS
101YS0200X
School Counselor
1125143878
KS
Other
Enumeration date
03/12/2021
Last updated
03/12/2021
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