Individual
ANGEL LOPEZ ORTIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LCPC, CADC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
38800
IL
101YP2500X
Professional Counselor
Primary
180017169
IL
Other
Enumeration date
05/15/2025
Last updated
05/15/2025
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