Individual
GISSELL ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
319 MAPLE ST, PERTH AMBOY, NJ 08861-4197
(732) 324-8200
Mailing address
319 MAPLE ST, PERTH AMBOY, NJ 08861-4197
(732) 324-8200
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
104100000X
Social Worker
Primary
44SL06710000
NJ
Other
Enumeration date
06/05/2019
Last updated
06/04/2026
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