Individual
MARIO ORTEGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8561 FENTON ST, STE 230, SILVER SPRING, MD 20910-4455
(301) 565-9001
(301) 565-9003
Mailing address
8561 FENTON ST, STE 230, SILVER SPRING, MD 20910-4455
(301) 565-9001
(301) 565-9003
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0936
MD
Other
Enumeration date
07/22/2009
Last updated
07/22/2009
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