Individual
MARISELA ORTEGA-GOMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.C.
Contact information
Practice address
4510 DRESSLER RD NW, CANTON, OH 44718-2546
(330) 494-5155
(330) 494-6868
Mailing address
4510 DRESSLER RD NW, CANTON, OH 44718-2546
(330) 494-5155
(330) 494-6868
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C.1100634
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10024
—
OH
Enumeration date
04/26/2012
Last updated
04/26/2012
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