Individual
MS. JACQUELINE ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAMFT
Contact information
Practice address
1157 MAIN AVE, CLIFTON, NJ 07011-2243
(973) 341-9869
Mailing address
73 ALBERT ST, GARFIELD, NJ 07026-2156
(973) 563-8732
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
37FA00018400
NJ
Other
Enumeration date
10/07/2020
Last updated
10/07/2020
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