Organization
FLY RADICAL THERAPY, LLC
Active
Other names
Dorian A. Ortega
Organization subpart
No
Provider details
NPI number
Authorized official
DORIAN A. ORTEGA LCPC (PSYCHOTHERAPIST/ OWNER)
(773) 469-0709
Entity
Organization
Contact information
Practice address
2659 W DIVISION ST, CHICAGO, IL 60622-2851
(773) 469-0709
Mailing address
1711 W JARVIS AVE, CHICAGO, IL 60626-1600
(773) 469-0709
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
11/22/2021
Last updated
11/22/2021
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