Organization
FUERZA WITHIN, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DORALIS CORIANO ORTIZ LCPC (OWNER)
(787) 219-8598
Entity
Organization
Contact information
Practice address
661 W LAKE ST STE 2S, CHICAGO, IL 60661-1034
(787) 219-8598
Mailing address
661 W LAKE ST STE 2S, CHICAGO, IL 60661-1034
(787) 219-8598
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/24/2022
Last updated
12/30/2022
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