Individual
MISS LAUREN DIANNE BORRELI ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1127 N OAKLEY BLVD FL 3, CHICAGO, IL 60622-3507
(312) 770-2317
Mailing address
1127 N OAKLEY BLVD FL 3, CHICAGO, IL 60622-3507
(312) 770-2317
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/30/2021
Last updated
08/30/2021
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