Individual
JENNIFER PATRICIA ORTEGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12300 WASHINGTON HIGHWAY, ASHLAND, VIRGINIA, VA 23005-2300
(804) 365-4222
Mailing address
12300 WASHINGTON HIGHWAY, ASHLAND, VIRGINIA, VA 23005
(804) 365-4222
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904014624
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1104858653
—
VA
Enumeration date
12/09/2022
Last updated
12/09/2022
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