Individual
CARLOS ORTIZ-LONGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3550 MAIN ST STE 202, SPRINGFIELD, MA 01107-1078
(413) 285-8586
Mailing address
41 KATHERINE DR, AGAWAM, MA 01001-3356
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/17/2016
Last updated
08/17/2016
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