Individual
LAUIREN ORTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC
Contact information
Practice address
1901 CHEKER SQUARE, E HAZEL CREST, IL 60429
(708) 647-3343
(708) 647-3505
Mailing address
1901 CHEKER SQUARE, EAST HAZEL CREST, IL 60429
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
32981
CADC
IL
Enumeration date
04/22/2016
Last updated
04/22/2016
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