Dominique Ortiz is a Counselor based in Salem, MA. Dominique Ortiz practices in Lawrence, MA. The NPI Number for Dominique Ortiz is 1043826423 and holds a License No. (Massachusetts).
The current practice location address for Dominique Ortiz is 15 Union St Ste 200, Lawrence, MA and can be reached out via phone at 978-682-7289.
Location: 15 Union St Ste 200, Lawrence, MA, 01970-1402
Provider Profile Details
NPI Number
1043826423
Provider Name
Dominique Ortiz
Credential
Provider Entity Type
Individual
Gender
Female
Address
15 Union St Ste 200, Lawrence, MA, 01970-1402
Phone Number
978-682-7289
Fax Number
Provider Enumeration Date
09/21/2020
Last Update Date
03/10/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 101YM0800X | 01 | NON LICENSED CLINICIAN |
Provider Business Practice Location Address Details
Address
15 Union St Ste 200
City
State
Zip
01840-1823
Phone Number
978-682-7289
Fax Number
Provider Business Mailing Address Details
Address
15 Union St Ste 200
City
State
Zip
01840-1823
Phone Number
978-682-7289
Fax Number
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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