Individual
JESSICA C ORTIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
875 KINGS HWY, SUITE 201, WEST DEPTFORD, NJ 08096
(856) 282-5862
Mailing address
450 WINDSOR DR, BELLMAWR, NJ 08031
(609) 424-7889
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
37LC00390500
NJ
1041C0700X
Clinical Social Worker
Primary
44SC06282200
NJ
Other
Enumeration date
08/06/2025
Last updated
08/06/2025
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