Individual
TRICIA S ORTEGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICENSED ELIGIBLE ME
Contact information
Practice address
9 N 4TH AVE, MARSHALLTOWN, IA 50158-1836
(641) 752-1585
(641) 752-9665
Mailing address
9 N 4TH AVE, MARSHALLTOWN, IA 50158-1836
(641) 752-1585
(641) 752-9665
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0058230
—
IA
01
—
05823
BCBS
IA
Enumeration date
03/05/2008
Last updated
03/05/2008
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