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Individual

MRS. DIRCE ORTIZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
2855 MANGUM RD STE 572, HOUSTON, TX 77092-7553
(832) 951-3685
(281) 741-3861
Mailing address
2855 MANGUM RD STE 572, HOUSTON, TX 77092-7553
(832) 951-3685
(281) 741-3861

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
16691
TX
101YM0800X
Mental Health Counselor
16691
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
175823702
TX
Enumeration date
11/07/2006
Last updated
05/09/2024
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