Individual
MS. ALEXANDRIA PYO ORTEGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2101 MAGNOLIA AVE, LONG BEACH, CA 90806-4521
(562) 428-4111
Mailing address
7290 EDINGER AVE UNIT 2115, HUNTINGTON BEACH, CA 92647-0925
(619) 757-7787
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
R1489171122
CA
101YP2500X
Professional Counselor
—
—
106H00000X
Marriage & Family Therapist
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/26/2022
Last updated
11/17/2022
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