Individual
MRS. GLORIEAN ORTIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
924 INDIANA AVE, PUEBLO, CO 81004-3747
(719) 564-9039
Mailing address
3520 MARICOPA DR, PUEBLO, CO 81005-3934
(719) 250-3975
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC.0012115
CO
Other
Enumeration date
03/27/2015
Last updated
03/27/2015
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