Individual
YESENIA ORTIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE, COUNSELOR
Contact information
Practice address
871 ENBORG CT., SAN JOSE, CA 95128
(408) 885-6100
Mailing address
PO BOX 8106, SAN JOSE, CA 95155
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
PT31716
CA
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
167G00000X
Licensed Psychiatric Technician
Primary
PT31716
CA
Other
Enumeration date
01/12/2007
Last updated
07/16/2009
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