Individual
BREANA MARIA ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
519 S PARK ST, KALAMAZOO, MI 49007-5117
(269) 383-2204
(269) 383-2066
Mailing address
519 S PARK ST, KALAMAZOO, MI 49007-5117
(269) 383-2204
(269) 383-2066
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
07/20/2021
Last updated
07/20/2021
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