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Individual

ELIAS ORTEGA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LLMFT,LLPC

Contact information

Practice address
497 E SHAWNEE RD, BARODA, MI 49101-8710
(269) 338-5887
Mailing address
497 E SHAWNEE RD, BARODA, MI 49101-8710
(269) 338-5887

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
6451024748
MI
106H00000X
Marriage & Family Therapist
Primary
4151001208
MI

Other

Enumeration date
12/03/2025
Last updated
05/03/2026
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