Individual
JACOB ORTIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
900 W 1ST ST STE 200, RENO, NV 89503-5587
(775) 332-8941
Mailing address
900 W 1ST ST STE 200, RENO, NV 89503-5587
(775) 332-8941
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
C-DAC I #01415I
NV
Other
Enumeration date
10/07/2014
Last updated
10/07/2014
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